B*44 restricted peptides for use in immunotherapy against cancers and related methods

ABSTRACT

The present invention relates to peptides, proteins, nucleic acids and cells for use in immunotherapeutic methods. In particular, the present invention relates to the immunotherapy of cancer. The present invention furthermore relates to tumor-associated T-cell peptide epitopes, alone or in combination with other tumor-associated peptides that can for example serve as active pharmaceutical ingredients of vaccine compositions that stimulate anti-tumor immune responses, or to stimulate T cells ex vivo and transfer into patients. Peptides bound to molecules of the major histocompatibility complex (MHC), or peptides as such, can also be targets of antibodies, soluble T-cell receptors, and other binding molecules.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No.17/478,041, filed on Sep. 17, 2021, which is a continuation of U.S.patent application Ser. No. 16/571,982, filed on Sep. 16, 2019, whichclaims priority to U.S. Provisional Application No. 62/732,300, filedSep. 17, 2018, as well as German Patent Application No. 102018122623.3,filed Sep. 17, 2018. The entire disclosures of each of which areincorporated by reference for all purposes.

REFERENCE TO SEQUENCE LISTING SUBMITTED AS A COMPLIANT ASCII TEXT FILE(.xml)

Pursuant to the EFS-Web legal framework and 37 C.F.R. § 1.821-825 (seeM.P.E.P. § 2442.03(a)), a Sequence Listing in the form of anASCII-compliant text file (entitled“2912919-098017_Sequence_Listing_ST26” created on Mar. 21, 2023, and448,561 bytes in size) is submitted concurrently with the instantapplication, and the entire contents of the Sequence Listing areincorporated herein by reference.

FIELD

The present invention relates to peptides, proteins, nucleic acids andcells for use in immunotherapeutic methods. In particular, the presentinvention relates to the immunotherapy of cancer. The present inventionfurthermore relates to tumor-associated T-cell peptide epitopes, aloneor in combination with other tumor-associated peptides that can forexample serve as active pharmaceutical ingredients of vaccinecompositions that stimulate anti-tumor immune responses, or to stimulateT cells ex vivo and transfer into patients. Peptides bound to moleculesof the major histocompatibility complex (MHC), or peptides as such, canalso be targets of antibodies, soluble T-cell receptors, and otherbinding molecules.

The present invention relates to several novel peptide sequences andtheir variants derived from HLA class I molecules of human tumor cellsthat can be used in vaccine compositions for eliciting anti-tumor immuneresponses, or as targets for the development ofpharmaceutically/immunologically active compounds and cells.

BACKGROUND OF THE INVENTION

According to the World Health Organization (WHO), cancer ranged amongthe four major non-communicable deadly diseases worldwide in 2012. Forthe same year, colorectal cancer, breast cancer and respiratory tractcancers were listed within the top 10 causes of death in high incomecountries.

Epidemiology

In 2012, 14.1 million new cancer cases, 32.6 million patients sufferingfrom cancer (within 5 years of diagnosis) and 8.2 million cancer deathswere estimated worldwide (Bray et al., 2013; Ferlay et al., 2013).

Within the groups of brain cancer, leukemia and lung cancer the currentinvention specifically focuses on glioblastoma (GBM), chroniclymphocytic leukemia (CLL) and acute myeloid leukemia (AML), non-smallcell and small cell lung cancer (NSCLC and SCLC), respectively.

GBM is the most common central nervous system malignancy with anage-adjusted incidence rate of 3.19 per 100,000 inhabitants within theUnited States. GBM has a very poor prognosis with a 1-year survival rateof 35% and a 5-year survival rate lower than 5%. Male gender, older ageand ethnicity appear to be risk factors for GBM (Thakkar et al., 2014).

CLL is the most common leukemia in the Western world where it comprisesabout one third of all leukemia. Incidence rates are similar in the USand Europe, and estimated new cases are about 16,000 per year. CLL ismore common in Caucasians than in Africans, rarer in Hispanics andNative Americans and seldom in Asians. In people of Asian origin, CLLincidence rates are 3-fold lower than in Caucasians (Gunawardana et al.,2008). The five-year overall survival for patients with CLL is about79%.

AML is the second most common type of leukemia diagnosed in both adultsand children. Estimated new cases in the United States are about 21,000per year. The five-year survival rate of people with AML isapproximately 25%.

Lung cancer is the most common type of cancer worldwide and the leadingcause of death from cancer in many countries. Lung cancer is subdividedinto small cell lung cancer and non-small cell lung cancer. NSCLCincludes the histological types adenocarcinoma, squamous cell carcinomaand large cell carcinoma and accounts for 85% of all lung cancers in theUnited States. The incidence of NSCLC is closely correlated with smokingprevalence, including current and former smokers and the five-yearsurvival rate was reported to be 15% (Molina et al., 2008; World CancerReport, 2014).

Considering the severe side-effects and expense associated with treatingcancer, there is a need to identify factors that can be used in thetreatment of cancer in general and acute myeloid leukemia, breastcancer, cholangiocellular carcinoma, chronic lymphocytic leukemia,colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer,hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer in particular. Thereis also a need to identify factors representing biomarkers for cancer ingeneral and acute myeloid leukemia, breast cancer, cholangiocellularcarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladdercancer, glioblastoma, gastric cancer, hepatocellular carcinoma, head andneck squamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lungcancer (including non-small cell lung cancer adenocarcinoma, squamouscell non-small cell lung cancer, and small cell lung cancer), ovariancancer, esophageal cancer, pancreatic cancer, prostate cancer, renalcell carcinoma, urinary bladder carcinoma, uterine and endometrialcancer in particular, leading to better diagnosis of cancer, assessmentof prognosis, and prediction of treatment success.

Immunotherapy of cancer represents an option of specific targeting ofcancer cells while minimizing side effects. Cancer immunotherapy makesuse of the existence of tumor associated antigens.

The current classification of tumor associated antigens (TAAs) comprisesthe following major groups:

-   -   a) Cancer-testis antigens: The first TAAs ever identified that        can be recognized by T cells belong to this class, which was        originally called cancer-testis (CT) antigens because of the        expression of its members in histologically different human        tumors and, among normal tissues, only in        spermatocytes/spermatogonia of testis and, occasionally, in        placenta. Since the cells of testis do not express class I and        II HLA molecules, these antigens cannot be recognized by T cells        in normal tissues and can therefore be considered as        immunologically tumor-specific. Well-known examples for CT        antigens are the MAGE family members and NY-ESO-1.    -   b) Differentiation antigens: These TAAs are shared between        tumors and the normal tissue from which the tumor arose. Most of        the known differentiation antigens are found in melanomas and        normal melanocytes. Many of these melanocyte lineage-related        proteins are involved in biosynthesis of melanin and are        therefore not tumor specific but nevertheless are widely used        for cancer immunotherapy. Examples include, but are not limited        to, tyrosinase and Melan-A/MART-1 for melanoma or PSA for        prostate cancer.    -   c) Over-expressed TAAs: Genes encoding widely expressed TAAs        have been detected in histologically different types of tumors        as well as in many normal tissues, generally with lower        expression levels. It is possible that many of the epitopes        processed and potentially presented by normal tissues are below        the threshold level for T-cell recognition, while their        over-expression in tumor cells can trigger an anticancer        response by breaking previously established tolerance. Prominent        examples for this class of TAAs are Her-2/neu, survivin,        telomerase, or WT1.    -   d) Tumor-specific antigens: These unique TAAs arise from        mutations of normal genes (such as β-catenin, CDK4, etc.). Some        of these molecular changes are associated with neoplastic        transformation and/or progression. Tumor-specific antigens are        generally able to induce strong immune responses without bearing        the risk for autoimmune reactions against normal tissues. On the        other hand, these TAAs are in most cases only relevant to the        exact tumor on which they were identified and are usually not        shared between many individual tumors. Tumor-specificity (or        -association) of a peptide may also arise if the peptide        originates from a tumor- (-associated) exon in case of proteins        with tumor-specific (-associated) isoforms.    -   e) TAAs arising from abnormal post-translational modifications:        Such TAAs may arise from proteins which are neither specific nor        overexpressed in tumors but nevertheless become tumor associated        by posttranslational processes primarily active in tumors.        Examples for this class arise from altered glycosylation        patterns leading to novel epitopes in tumors as for MUC1 or        events like protein splicing during degradation which may or may        not be tumor specific.    -   f) Oncoviral proteins: These TAAs are viral proteins that may        play a critical role in the oncogenic process and, because they        are foreign (not of human origin), they can evoke a T-cell        response. Examples of such proteins are the human papilloma type        16 virus proteins, E6 and E7, which are expressed in cervical        carcinoma.

T-cell based immunotherapy targets peptide epitopes derived fromtumor-associated or tumor-specific proteins, which are presented bymolecules of the major histocompatibility complex (MHC). The antigensthat are recognized by the tumor specific T lymphocytes, that is, theepitopes thereof, can be molecules derived from all protein classes,such as enzymes, receptors, transcription factors, etc. which areexpressed and, as compared to unaltered cells of the same origin,usually up-regulated in cells of the respective tumor.

There are two classes of MHC-molecules, MHC class I and MHC class II.MHC class I molecules are composed of an alpha heavy chain andbeta-2-microglobulin, MHC class II molecules of an alpha and a betachain. Their three-dimensional conformation results in a binding groove,which is used for non-covalent interaction with peptides.

MHC class I molecules can be found on most nucleated cells. They presentpeptides that result from proteolytic cleavage of predominantlyendogenous proteins, defective ribosomal products (DRIPs) and largerpeptides. However, peptides derived from endosomal compartments orexogenous sources are also frequently found on MHC class I molecules.This non-classical way of class I presentation is referred to ascross-presentation in the literature (Brossart and Bevan, 1997; Rock etal., 1990). MHC class II molecules can be found predominantly onprofessional antigen presenting cells (APCs), and primarily presentpeptides of exogenous or transmembrane proteins that are taken up byAPCs e.g. during endocytosis and are subsequently processed.

Complexes of peptide and MHC class I are recognized by CD8-positive Tcells bearing the appropriate T-cell receptor (TCR), whereas complexesof peptide and MHC class II molecules are recognized byCD4-positive-helper-T cells bearing the appropriate TCR. It is wellknown that the TCR, the peptide and the MHC are thereby present in astoichiometric amount of 1:1:1.

CD4-positive helper T cells play an important role in inducing andsustaining effective responses by CD8-positive cytotoxic T cells. Theidentification of CD4-positive T-cell epitopes derived from tumorassociated antigens (TAA) is of great importance for the development ofpharmaceutical products for triggering anti-tumor immune responses(Gnjatic et al., 2003). At the tumor site, T helper cells, support acytotoxic T cell- (CTL-) friendly cytokine milieu (Mortara et al., 2006)and attract effector cells, e.g. CTLs, natural killer (NK) cells,macrophages, and granulocytes (Hwang et al., 2007).

In the absence of inflammation, expression of MHC class II molecules ismainly restricted to cells of the immune system, especially professionalantigen-presenting cells (APC), e.g., monocytes, monocyte-derived cells,macrophages, dendritic cells. In cancer patients, cells of the tumorhave been found to express MHC class II molecules (Dengjel et al.,2006).

Longer (elongated) peptides of the invention can act as MHC class IIactive epitopes.

T-helper cells, activated by MHC class II epitopes, play an importantrole in orchestrating the effector function of CTLs in anti-tumorimmunity. T-helper cell epitopes that trigger a T-helper cell responseof the TH1 type support effector functions of CD8-positive killer Tcells, which include cytotoxic functions directed against tumor cellsdisplaying tumor-associated peptide/MHC complexes on their cellsurfaces. In this way tumor-associated T-helper cell peptide epitopes,alone or in combination with other tumor-associated peptides, can serveas active pharmaceutical ingredients of vaccine compositions thatstimulate anti-tumor immune responses.

It was shown in mammalian animal models, e.g., mice, that even in theabsence of CD8-positive T lymphocytes, CD4-positive T cells aresufficient for inhibiting manifestation of tumors via inhibition ofangiogenesis by secretion of interferon-gamma (IFNγ) (Beatty andPaterson, 2001; Mumberg et al., 1999). There is evidence for CD4 T cellsas direct anti-tumor effectors (Braumuller et al., 2013; Tran et al.,2014).

Since the constitutive expression of HLA class II molecules is usuallylimited to immune cells, the possibility of isolating class II peptidesdirectly from primary tumors was previously not considered possible.However, Dengjel et al. were successful in identifying a number of MHCClass II epitopes directly from tumors (WO 2007/028574, EP 1 760 088B1).

Since both types of response, CD8 and CD4 dependent, contribute jointlyand synergistically to the anti-tumor effect, the identification andcharacterization of tumor-associated antigens recognized by either CD8+T cells (ligand: MHC class I molecule+ peptide epitope) or byCD4-positive T-helper cells (ligand: MHC class II molecule+ peptideepitope) is important in the development of tumor vaccines.

For an MHC class I peptide to trigger (elicit) a cellular immuneresponse, it also must bind to an MHC-molecule. This process isdependent on the allele of the MHC-molecule and specific polymorphismsof the amino acid sequence of the peptide. MHC-class-I-binding peptidesare usually 8-12 amino acid residues in length and usually contain twoconserved residues (“anchors”) in their sequence that interact with thecorresponding binding groove of the MHC-molecule. In this way each MHCallele has a “binding motif” determining which peptides can bindspecifically to the binding groove.

In the MHC class I dependent immune reaction, peptides not only have tobe able to bind to certain MHC class I molecules expressed by tumorcells, they subsequently also have to be recognized by T cells bearingspecific T cell receptors (TCR).

For proteins to be recognized by T-lymphocytes as tumor-specific or-associated antigens, and to be used in a therapy, particularprerequisites must be fulfilled. The antigen should be expressed mainlyby tumor cells and not, or in comparably small amounts, by normalhealthy tissues. In a preferred embodiment, the peptide should beover-presented by tumor cells as compared to normal healthy tissues. Itis furthermore desirable that the respective antigen is not only presentin a type of tumor, but also in high concentrations (i.e. copy numbersof the respective peptide per cell). Tumor-specific and tumor-associatedantigens are often derived from proteins directly involved intransformation of a normal cell to a tumor cell due to their function,e.g. in cell cycle control or suppression of apoptosis. Additionally,downstream targets of the proteins directly causative for atransformation may be up-regulated and thus may be indirectlytumor-associated. Such indirect tumor-associated antigens may also betargets of a vaccination approach (Singh-Jasuja et al., 2004). It isessential that epitopes are present in the amino acid sequence of theantigen, in order to ensure that such a peptide (“immunogenic peptide”),being derived from a tumor associated antigen, leads to an in vitro orin vivo T-cell-response.

Basically, any peptide able to bind an MHC molecule may function as aT-cell epitope. A prerequisite for the induction of an in vitro or invivo T-cell-response is the presence of a T cell having a correspondingTCR and the absence of immunological tolerance for this particularepitope.

Therefore, TAAs are a starting point for the development of a T cellbased therapy including but not limited to tumor vaccines. The methodsfor identifying and characterizing the TAAs are usually based on the useof T-cells that can be isolated from patients or healthy subjects, orthey are based on the generation of differential transcription profilesor differential peptide expression patterns between tumors and normaltissues. However, the identification of genes over-expressed in tumortissues or human tumor cell lines, or selectively expressed in suchtissues or cell lines, does not provide precise information as to theuse of the antigens being transcribed from these genes in an immunetherapy. This is because only an individual subpopulation of epitopes ofthese antigens are suitable for such an application since a T cell witha corresponding TCR has to be present and the immunological tolerancefor this particular epitope needs to be absent or minimal. In a verypreferred embodiment of the invention it is therefore important toselect only those over- or selectively presented peptides against whicha functional and/or a proliferating T cell can be found. Such afunctional T cell is defined as a T cell, which upon stimulation with aspecific antigen can be clonally expanded and is able to executeeffector functions (“effector T cell”).

In case of targeting peptide-MHC by specific TCRs (e.g. soluble TCRs)and antibodies or other binding molecules (scaffolds) according to theinvention, the immunogenicity of the underlying peptides is secondary.In these cases, the presentation is the determining factor.

SUMMARY OF THE INVENTION

In a first aspect of the present invention, the present inventionrelates to a peptide comprising an amino acid sequence selected from thegroup consisting of SEQ ID No. 1 to SEQ ID No. 518, and a variantpeptide comprising a sequence of SEQ ID No. 1 to SEQ ID No. 518 andcomprising one or two conservative amino acid substitution(s) in saidSEQ ID No. 1 to SEQ ID No. 518, wherein said variant peptide binds tomolecule(s) of the major histocompatibility complex (MHC) and/or inducesT cells cross-reacting with said variant peptide; and a pharmaceuticalacceptable salt thereof, and wherein said peptide has a maximum lengthof 16 amino acids.

The present invention further relates to a peptide comprising an aminoacid sequence selected from the group consisting of SEQ ID NO: 1 to SEQID NO: 518 or a variant sequence thereof which is at least 77%,preferably at least 88%, homologous (preferably at least 77% or at least88% identical) to SEQ ID NO: 1 to SEQ ID NO: 518, wherein said variantbinds to MHC and/or induces T cells cross-reacting with said peptide, ora pharmaceutical acceptable salt thereof, wherein said peptide is notthe underlying full-length polypeptide.

The present invention further relates to a peptide of the presentinvention comprising a sequence that is selected from the groupconsisting of SEQ ID NO: 1 to SEQ ID NO: 518 or a variant thereof, whichis at least 77%, preferably at least 88%, homologous (preferably atleast 77% or at least 88% identical) to SEQ ID NO: 1 to SEQ ID NO: 518,wherein said peptide or variant thereof has an overall length of between8 and 100, preferably between 8 and 30, and most preferred of between 8and 14 amino acids.

The following tables show the peptides according to the presentinvention, their respective SEQ ID NOs, and the prospective source(underlying) genes for these peptides. In Table 1, peptides with SEQ IDNO: 1 to SEQ ID NO: 417 bind to HLA-B*44. The peptides in Table 2 havebeen disclosed before but have not been associated with cancer at allbefore. In Table 2, peptides with SEQ ID NO: 418 to SEQ ID NO: 456 bindto HLA-B*44. The peptides in Table 3 are additional peptides that may beuseful in particular in combination with the other peptides of theinvention. In Table 3, peptides with SEQ ID NO: 457 to SEQ ID NO: 518bind to HLA-B*44.

TABLE 1 Peptides according to the present invention. Seq ID No SequenceGene(s) HLA allotype 1 KEVDPASNTYTL MAGEA4 B*44 2 EEFLRPRSL KLK2 B*44 3DEIFTNDRRW TRPM8 B*44 4 AEALGAAKKL ALPP, ALPPL2 B*44 5 VEFLLLKY MAGEC2B*44 6 AELVGPVIPQDW ACPP B*44 7 SESDLVNFI TRPM8 B*44 8 ELMEVDPIGHLYMAGEA3 B*44/A*26 9 MEVDPIGHLYIF MAGEA3 B*44 10 SEYPTKNYV CLDN6 B*44 11EENIVAIGI TRPM8 B*44 12 KEVDPTGHSF MAGEA10 B*44 13 VEAQDRETW SLC6A3 B*4414 EMPGGPVW MMP12 B*44 15 MEAELVRRI CTAG2 B*44 16 NESDRLVYF NLRP4 B*4417 SEIYQPRGF NLRP4 B*44 18 QEAPRPASSL MMP11 B*44 19 MEHSDENIQFW RGS13B*44 20 LEALLSDLF SLC45A3 B*44 21 SEAKEIKSQL ANKRD30A, ANKRD30B, B*44ANKRD30BP1 22 TEEITEGVW FLT3 B*44 23 REYNLHRVA MMP1 B*44 24 EELALRIGLOTP B*44 25 SEKEPGQQY RHOXF2, RHOXF2B B*44 26 EESSSPVDEY MAGEC1 B*44 27GETCVRITY ITIH6 B*44 28 QEFPAHSL ZBTB32 B*44 29 TENPKKFKI PAEP B*44 30EEFCFSVRF FLT3 B*44 31 MESAKETRY ESR1 B*44 32 REYEYDLKW FLT3 B*44 33IEYENQKRL FLT3 B*44 34 AEPPILYSEY ESR1 B*44 35 RELVHMINW ESR1 B*44 36LEQASRIWSW TYR, TYRL B*44 37 IEQGRVVLW CXorf49, CXorf49B, B*44LOC101059915 38 DEVRFFKGNKY MMP1 B*44 39 AEAMGKFKQCF SCGB2A1 B*44 40REVDPDDSYVF MAGEC1 B*44 41 EENTGKTYF MMP1 B*44 42 SEENTGKTYF MMP1 B*4443 SEKIVYVY SSX3, SSX4, SSX4B B*44 44 SEFGAPRW ACSM1 B*44 45 EEINELNRMIKRT121P, KRT81, KRT83, B*44 KRT85, KRT86 46 SELGLPKEV MMP13 B*44 47TEVHSSPAQRW SIGLEC15 B*44 48 DEVRALIF ANKRD28 B*44 49 SEYVHSSF COL10A1B*44 50 SEYVHSSFSGF COL10A1 B*44 51 VEMTGKHQL DNTT B*44 52 EDNPSGHTYMAGEB1 B*44 53 KEDNPSGHTY MAGEB1 B*44 54 QEISAHRTEF TFEC B*44 55TEFHMQFSY TFEC B*44 56 ALEEGGGYIF SRMS B*44 57 SEATHIITI COL24A1 B*44 58KEMDPSRQSY MAGEB17 B*44 59 AEIEADRSYQ LAMC2 B*44 60 EEAVRSVAF EML6 B*4461 AEYSVHKI LAMC2 B*44 62 AEYSVHKITSTF LAMC2 B*44 63 YEQVLFGF PAK1IP1B*44 64 EEYQDSFERY DNAH17 B*44 65 SESMVESKF ITIH6 B*44 66 AEVTLNNTIFCRL5 B*44 67 TEGAVEVKY LOXL4 B*44 68 NEIDIHSIYF HEPHL1 B*44 69DENIQKFIW HEPHL1 B*44 70 AEAEEAMKRL LAMC2 B*44 71 AEVGDIIKV F5 B*44 72AEVGDIIKVHF F5 B*44 73 GEGTLRLSW ITIH6 B*44 74 AELEGALQKAKRT121P, KRT81, KRT83, B*44 KRT85, KRT86 75 LETSCGSSTAY KRTAP26-1 B*4476 RLNEHPSNNW LAMC2 B*44 77 QETLAESTW GTSF1 B*44 78 TEFSNHINLGREB1, GREB1L B*44 79 TEAQRLDCW PMEL B*44 80 TEQSLYYRQW GREB1 B*44 81GEKATMQNL KRT13, KRT17 B*44 82 AVFDESKSW F5 B*44/A*25 83 TEGGTQKTF F5B*44 84 AETSYVKVLEY MAGEA1 B*44 85 SEIDEKVTDL MAGEA10 B*44 86 QTLKAMVQAWPRAME B*44/B*57 87 GEARGDQVDW CSAG1 B*44 88 KEFTVSGNIL CTAGIA, CTAG1BB*44 89 KEFYPVKEF CYP4Z1 B*44 90 EESLLSSW MAGEB2 B*44 91 EESLLSSWDFMAGEB2 B*44 92 KEPSQSCIAQY RNASE10 B*44 93 SEAGLTANQY NLRP11 B*44 94SLAELIAKDW NLRP11 B*44/A*25 95 AAFEDAQGHIW MMP11 B*44 96 MDELEEGESY DCXB*44/B*18 97 ELVHMINW ESR1 B*44 98 SEESAGPLL PGR B*44 99 SECVKSLSFABCC11 B*44 100 QGDVVDYSFY CXorf49, CXorf49B B*44 101 SEENTGKTY MMP1B*44 102 TELADLDAAW SMC1B B*44 103 AELFLTKSF MMP13 B*44 104 EVHSSPAQRWSIGLEC15 B*44/A*25 105 EEIFKTLNY COL24A1 B*44 106 SVISDSPRSW FCRL5B*44/A*25 107 YQENPRAAW SEMA5B B*44/A*32 108 QETNKVETY PTHLH B*44 109AFSPAAGNTW ROBO3 B*44 110 EVEVGEVKSW RFPL4B B*44 111 QEIDQKRLEF SMC1BB*44 112 AEIEADRSYQH LAMC2 B*44 113 MEFKTLNKN SEMA5B B*44/C*06 114VEVNGVPRW LOXL4 B*44 115 QEPFTRPVL FCRL5 B*44 116 AEANPRDLGASW DDX53B*44 117 SEVPVDSHY LOXL4 B*44 118 SEVPVDSHYY LOXL4 B*44 119 VEVKYEGHWLOXL4 B*44 120 VTEGAVEVKY LOXL4 B*44 121 YENIPVDKV EPYC B*44 122GESVSWHLF HEPHL1 B*44 123 DEINHQSL FAM111B B*44 124 NENLDYAIL FAM111BB*44 125 LEVLHQGQW LOXL4 B*44 126 SEASQSPQY PGR B*44 127 RYFDENIQKFIWHEPHL1 B*44 128 TELTEARVQVW ALX1 B*44 129 EEAMKRLSY LAMC2 B*44 130REYQEVMNSKL KRT121P, KRT81, KRT83, B*44 KRT86 131 RESHLTEIRQY GREB1 B*44132 AESFTSGRHYW TRIML2 B*44 133 IEAPKLMVV HMCN1 B*44 134 IEIKDRLQL TCL1AB*44 135 QEIDRGQYI HMCN1 B*44 136 EEMPEEIHL DNAH17 B*44 137 EKGLISAFADAMTS20 B*44 138 KEAPNIVTL GREB1 B*44 139 AESDFSNNML LOXL4 B*44 140TEHSGIYSC FCRL5 B*44 141 SEKWFRMGF DNTT B*44 142 QELFLHPVL FCRL3 B*44143 HEIIIRSHW NOTUM B*44 144 IEAYLERIGY NAT1, NAT2 B*44 145 EELRMLSFCLEC17A B*44 146 MEELRMLSF CLEC17A B*44 147 RMLSFQQMTW CLEC17A B*44/A*32148 KESDAGRYY FCRL3 B*44 149 AETEPERHLG NKX3-1 B*44 150 SEVFHVSEA PTPRZ1B*44 151 TELQIPSF PTPRZ1 B*44 152 HENLIEDF F5 B*44 153 IEIILLSGSL SMC1BB*44 154 NEAGEMIKHY HMCN1 B*44 155 TEDARHPESW ELL3 B*44 156 DAIPPPTLTWHMCN1 B*44/A*25 157 SQDVAGTTF SLC24A5 B*44/C*05 158 VEEERYTGQW IL9R B*44159 EEVQDGKVI JUP, KRT13, KRT17 B*44 160 AEIATTGQLY BCAN B*44 161GESSEVKAVL DNTT B*44 162 EAYDIELNKW KBTBD8 B*44/A*25 163 AEDEDGKIVGYNAA11 B*44 164 DEDGKIVGY NAA11 B*44 165 EEIEAHIAL MEX3B B*44 166EEQDFINNRY BCAN B*44 167 AETENRYCV JUP, KRT13, KRT17 B*44 168 EEGPSVPKIYBEND4 B*44 169 KEHNSSVPWSS TCHHL1 B*44 170 REMFVFKDQW MMP16 B*44 171WEVVHTVF HMCN1 B*44 172 RENPGMFSW PAX3, PAX7 B*44 173 SEHSLEGQKF PTPRZ1B*44 174 DENDAGNLITF STK31 B*44 175 NLKSPIPLW STK31 B*44/B*57 176GETQQHIQL HMCN1 B*44 177 LEEPMPFFY LY6K B*44 178 MEGAALLKIF APOL4 B*44179 EEHIFSAF MIXL1 B*44 180 EEHSSKLQTSL SEMG2 B*44 181 HEVAQDDHL SEMG2B*44 182 EELHAALSEW TRIM31 B*44 183 KEMQVTISQQL ONECUT3 B*44 184EEQLLQKVM DNTT B*44 185 TEANVQALF KBTBD8 B*44 186 EEIFAHLGL DNTT B*44187 TEQALRLSV JUP, KRT13, KRT17 B*44 188 AEFVPKADLL FMN1, LOC101059984B*44 189 ALNGDIYVW EML5, EML6 B*44 190 NEAGEVSKHF HMCN1 B*44 191AEHDMKSVL PHEX B*44 192 LEIMTNLVTL ABCC11 B*44 193 RELRPLFDRQW COL19A1B*44 194 TEGDVLNYIF COL19A1 B*44 195 MEIKGTVTEF TDRD1 B*44 196TELEVKIRDW KRT13, KRT17 B*44 197 NEILTIHF F5 B*44 198 REEEANVVL AGRNB*44 199 AELPENLKALF DNAH17 B*44 200 KELSVFKKF FCRL2 B*44 201 MEILWKTLTADAMTS6 B*44 202 RELPLVLLA GRP B*44 203 REILHAQTL RALGPS2 B*44 204YERPTLVEL BEND4 B*44 205 MEIEGAGNFL ADAMTS12 B*44/B*40 206 SEDPEKYYLADAMTS12 B*44 207 LEGGGRGGEF IRF4 B*44 208 SEFLLRIF CAPN6 B*44 209AEGEPPPAL SIGLEC15 B*44 210 AEGEPPPALAW SIGLEC15 B*44 211 LEMLDAHRL ESR1B*44 212 SEASVYLFRF SIGLEC15 B*44 213 DEDLFHKL FERMT1 B*44 214 SVNPIIYGFNPFFR2 B*44/A*32 215 SAMWIQLLY GPR143 B*44/A*29 216 AGSPVMRKW ESM1B*44/B*57 217 EVEVGDRTDW BTN1A1 B*44/A*25 218 REAEEKEAQL KIAA1407 B*44219 WEVEVGDRTDW BTN1A1 B*44 220 EEEVFSGMKL VCAN B*44 221 KEAFGPQAL VCANB*44 222 SEDTIHTHL VCAN B*44 223 SEVEGLAFV VCAN B*44 224 TETDIDREY VCANB*44 225 VEAATVSKW VCAN B*44 226 AEDNMVTSY TRPS1 B*44 227 ALTEDSIDDTFEGFR B*44 228 LEYEAPKLY DNMT3B B*44 229 AEDLEKKYA CAPN6 B*44 230AEALVDGKW BTBD16 B*44 231 AEALVDGKWQEF BTBD16 B*44 232 YEIRAEAL BTBD16B*44 233 QEDKATQTL BMF B*44 234 TEEPQRLFY BMF B*44 235 SESLPRAPL NTN3B*44 236 LEDQLKPMLEW DNMT3B B*44 237 QEIGQKTSV ROS1 B*44 238 VEDDNYKLSLRALGPS1, RALGPS2 B*44 239 DEDYTYLIL APOB B*44 240 MELQVSSGF FCER2 B*44241 QELLDIANYL APOB B*44 242 CDAQIQYSY DNAH17 B*44 243 VEQINISQDW FERMT1B*44 244 VESSQAFTW DNAH17 B*44 245 MEFQGPMPAGM LAMB3 B*44 246 HEHGLENLYGREB1 B*44 247 KESMLKTTL APOB B*44 248 KESQLPTVMDF APOB B*44 249YEMAIYKKY GREB1 B*44 250 AELDHLASL AHRR, PDCD6 B*44 251 DESADSEPHKYPRDM15 B*44 252 EEFIGKIGI PRDM15 B*44 253 QEILHGAVRF EGFR B*44 254QEVAGYVLI EGFR B*44 255 KQWEYNEKLAF MED12L B*44 256 RLLPGKVVW CAPN6B*44/A*32 257 HAIDGTNNW LAMA1 B*44 258 IEVSSPITL APOB B*44 259IEVSSPITLQAL APOB B*44 260 VELMFPLLL RDH11 B*44 261 QEWDPQKTEKY CAPN6B*44 262 YENILNAI LAMA3 B*44 263 AEQLRGFNA LAMB3 B*44 264 RELIKAIGL PGRB*44 265 EDNLIHKF NLRP2 B*44 266 EEEDRDGHTW NLRP2 B*44 267 VELEVPQL APOBB*44 268 EDLAVHLY RALGPS2 B*44/B*18 269 SEDLAVHL RALGPS2 B*44 270VLRPPGSSW C6orf15 B*44 271 REDLVGPEV RALGPS2 B*44 272 SEQNIQRANLF APOBB*44 273 TEFELLHQV TRIM31 B*44 274 DEIDKLTGY PDE11A B*44 275 GEQPPEGQWBMF B*44 276 SEYQDGKEF DNMT3B B*44 277 VEFPATRSL DNMT3B B*44 278DQVTVFLHF ABCC4 B*44/A*25 279 GEPVTQPGSLL BMF B*44 280 AAEPLVGQRW GDF7B*44 281 HEIPQESL NBPF4, NBPF6 B*44 282 KEFGIGDLVW DNMT3B B*44 283VEEEISRHY TRPS1 B*44 284 SQYPHTHTF ROR1 B*44 285 AEHPDFSPCSFHOXA10, HOXA9 B*44 286 DELSVGRY HOXA9 B*44 287 REVSVVDILUGT1A3, UGT1A4, UGT1A5 B*44 288 TEHFLKKFF UGT1A3 B*44 289 NRYINIVAYPTPRZ1 B*44 290 AECILSKRL CBX2 B*44 291 DEQLLLRF FERMT1 B*44 292HELALRQTV KRT16, KRT16P2 B*44 293 QEDEQLLLRF FERMT1 B*44 294 EEWEWIQKLANKFN1 B*44 295 QELEQEVISL BEND4 B*44 296 AETIFIVRL HTR3A B*44 297DEYLIPQQGFF EGFR B*44 298 KEVASNSEL KRT16 B*44 299 AEVQIARKL BMF B*44300 KQTEATMTF APOB B*44 301 AERIMFSDL TDRD1 B*44 302 EGEDAHLTQYJUP, KRT13, KRT17 B*44 303 GEDAHLTQY JUP, KRT13, KRT17 B*44 304RELGFTEATGW LOXL3 B*44 305 AEKNRRDAETW KRT16 B*44 306 RRHPSFKRF C6orf222B*44/B*27 307 YEQLLKVVTW IL4I1 B*44 308 EEPKIDFRVY TRPS1 B*44 309SDDLRNVTW TRPS1 B*44 310 FELECPVKY BTLA B*44 311 REKDLPNYNW KISS1 B*44312 KEWEREKAVSL MROH2A B*44 313 EEINQGGRKY L1TD1 B*44 314 EMREERKF L1TD1B*44 315 MEQQSQEY KRT13, KRT16 B*44 316 RLWPEPENW SPOCD1 B*44 317TEFQQIINL L1TD1 B*44 318 SESSSFLKV KIF26B B*44 319 YEWEPFAEV THSD4 B*44320 AENPLNIFY PCDHGB2 B*44 321 AENPLNIFYI PCDHGB2 B*44 322 REESDWHYLGREB1 B*44 323 SETAVVNVTY IGF2BP1, IGF2BP3 B*44 324 QELSSIRQF HTR3A B*44325 AEQEIMKKV IGF2BP1 B*44 326 RELLDFSSW ASCL2 B*44 327 SEQHSLPVF ROS1B*44 328 HENGVLTKF ROS1 B*44 329 SEPQITVNF SLAMF9 B*44 330 SEHLFGTSYTEX15 B*44 331 KELEATKQYL KIF26B B*44 332 SEADWLRFW TRPS1 B*44 333SEGTLPYSY PCDHGB1, PCDHGB2, B*44 PCDHGB4, PCDHGB6 334 LEWQNSSSM FGD6B*44 335 SETPTLQGL ABCC4 B*44 336 QEVNISLHY TNFSF4 B*44 337 VEVIPEGAMLCDKAL1 B*44 338 AEMKFYVVI HTR3A B*44 339 NEVKEIKGY TGM7 B*44 340GELAPSHGL ABCC4 B*44 341 HELESENKKW KLHL6 B*44 342 SENKKWVEF KLHL6 B*44343 SEFDLEQVW KIF26B B*44 344 DEIRVFGY KLB B*44 345 AEYQAAILHL FMN1 B*44346 EEIENLQAQF FMN1 B*44 347 LENPHVQSV VWDE B*44 348 SEVLLTSISTF METB*44 349 LEWQHPSSW MPL B*44 350 EEMLENVSL APOB B*44 351 EEGRVYVY ITGAEB*44 352 QEDELVKIRKY FMN1 B*44 353 AETEEGIYW KREMEN2 B*44 354 TEIMEKTTLLAMA1 B*44 355 SETSTGTSV KIF26B B*44 356 TEAVLNRY KIF26B B*44 357AELMDKPLTF VASH2 B*44 358 TEFHGGLHY LOC100124692 B*44 359 NEFRRKLTF IL3B*44 360 DEMENLLTY SERHL, SERHL2 B*44 361 EDASLMGLY C1orf127 B*44 362SEVEYINKY TDRD9 B*44 363 EECDKAFHF ZNF761, ZNF765 B*44 364 EECDKAYSFZNF761, ZNF765 B*44 365 NESGKAFNY ZNF761, ZNF765, ZNF813, B*44 ZNF845366 EECGKAFKKF ZNF736 B*44 367 TEFAVKLKI MET B*44 368 KEKVPGITI CDKAL1B*44 369 KELEERMLHW FGD6 B*44 370 EEVLLANALW TBC1D9 B*44 371NEIGQELTGQEW TLR3 B*44 372 EEYKFPSLF CDKAL1 B*44 373 REDPIVYEI MET B*44374 NEAEWQEIL SFMBT1 B*44 375 HEATFGEKRF RASSF9 B*44 376 SESDGIEQLRASSF9 B*44 377 AEDARGWTA ANKRD65 B*44 378 QELFLQEVRM TOMM20L B*44 379AENRVGKMEA ROBO2 B*44 380 EECGKAFRVF ZNF92 B*44 381 QELMAFSFAGL FRAS1B*44 382 SELNPLALY TDRD5 B*44 383 EEMERDLDMY DNMBP B*44 384 LDGIPTAGWDNMBP B*44 385 LEHPFLVNLW STK32A, STK32B B*44 386 EESDYITHY NAALADL2B*44 387 GEVQENYKL ZNF827 B*44 388 VEIVTIPSL DNMBP B*44 389 DEQRRQNVAYIQGAP3 B*44 390 GEYNKHAQLW RXFP1 B*44 391 TESIGAQIY RXFP1 B*44 392TEVSVLLLTF RXFP1 B*44 393 SETILAVGL NUP155 B*44 394 SEILRVTLY FAM124BB*44 395 AEDFVWAQW PION B*44 396 MELLFLDTF KIAA1429 B*44 397 EECGKAFSVFZNF273, ZNF708, ZNF738, B*44 ZNF92 398 AEIIRYIF HPGDS B*44 399 IEQADWPEIHPGDS B*44 400 TELGLFGVW PCDHB13, PCDHB6 B*44 401 VENIFHNF DCSTAMP B*44402 IETSSEYFNF GDPD4 B*44 403 QESVHVASY PLD4 B*44 404 AEREQVIKL STON2B*44 405 YEHAFNSIVW STON2 B*44 406 GETVVLKNM TNR B*44 407 MEFQNTQSYFARP2 B*44 408 AFSLLSAAFY IL20 B*44 409 QEAKPRATW RTP4 B*44 410RELEEEFYSL PHF16 B*44 411 AERDLNVTI GALNT5 B*44 412 EESFDSKFY CDKAL1B*44 413 TELEPGLTY TNR B*44 414 AEGYLDLDGI EYS B*44 415 EEAGFPLAY GCNT2B*44 416 DELMRKESQW CEP250 B*44 417 EESFRCLPEW RAB30 B*44

TABLE 2 Additional peptides according to the present invention Seq IDHLA No Sequence Gene(s) allotype 418 GEPRKLLTQDW MAGEA10, MAGEA4, B*44MAGEA9, 419 SELSLLSLY ACPP B*44 420 MEVDPIGHVY MAGEA3, MAGEA6 B*44 421TEDYSKQAL LAMC2 B*44 422 EEAQWVRKYF FAM111B B*44 423 KEAINLLKNY FAM111BB*44 424 EEHVYESIIRW KBTBD8 B*44 425 KEVDPASNTY MAGEA4 B*44 426AESLFREAL MAGEA4 B*44 427 AEMLGSVVGNW MAGEA3, MAGEA6 B*44 428 AEEKAAVTSLHBE1 B*44 429 RETEDYSKQAL LAMC2 B*44 430 RELARVVTL C17orf104 B*44 431QELLDFTNW ASCL1 B*44 432 TEENGFWYL NAT1 B*44 433 AEEGPSVPKIY BEND4 B*44434 AEQQQQQMY PRDM15 B*44 435 FETEQALRL JUP, KRT13, KRT17 B*44 436AEADLSYTWDF PMEL B*44 437 HEDPSGSLHL SLITRK6 B*44 438 AELDSKILAL TRPS1B*44 439 VEVGDRTDW BTN1A1 B*44 440 QEVAQVASA LAMB3 B*44 441 QEVAQVASAILLAMB3 B*44 442 KESDAGKYY FCRL2 B*44 443 EEYAGQITL RALGPS2 B*44 444SESALQTVI LAMA3 B*44 445 QEVGEITNL LAMB3 B*44 446 AENIKKELYFOLH1, FOLH1B B*44 447 KEFGLDSVEL FOLH1 B*44 448 ALSPVPSHW CD79B B*44449 RENDFEPKF L1TD1 B*44 450 REIENGNSF MACC1 B*44 451 REYEDGPLSL E2F7B*44 452 NEVDGEYRY PRDM15 B*44 453 SESKVFQLL FGD6 B*44 454 SESSSAFQFFARP2 B*44 455 QESVHVASYYW PLD4 B*44 456 SESPIRISV NRG1 B*44

TABLE 3 Peptides according to the present invention,useful for e.g. personalized cancer therapies. Seq ID HLA No SequenceGene(s) allotype 457 AEMLERVIKNY MAGEA4 B*44 458 AEMLESVIKNYMAGEA1, MAGEA8, B*44 MAGEA9, MAGEA9B 459 KEVDPAGHSY MAGEA8, MAGEA9, B*44MAGEA9B 460 SEFMQVIF MAGEA9, MAGEA9B B*44 461 MEVDPIGHVYIFMAGEA3, MAGEA6 B*44 462 SESDTIRSI KLK4 B*44 463 QEMQHFLGL MMP12 B*44 464REMPGGPVW MMP12 B*44 465 YEIEARNQVF MMP12 B*44 466 KEVDPTSHSY MAGEA11B*44 467 FEYDELLQRI MMP12 B*44 468 QEQDVDLVQKY MMP1 B*44 469 SEAFPSRALKISS1R B*44 470 EDAQGHIW MMP11 B*44 471 FEDAQGHIW MMP11 B*44 472HEFGHVLGL MMP11 B*44 473 SELKMMTQL FLT3 B*44 474 AEEEIMKKI IGF2BP3 B*44475 TDSIHAWTF SLC35D3 B*44 476 MEHPGKLLF ESR1 B*44 477 VYEKNGYIYF MMP13B*44 478 AEIEADRSY LAMC2 B*44 479 QENSYQSRL LAMC2 B*44 480 SEIEQEIGSLLAMC2 B*44 481 EEAQWVRKY FAM111B B*44 482 NEAIMHQY FAM111B B*44 483KESPTSVGF CBX2 B*44 484 GEAVTDHPDRLW TCL1A B*44 485 NEHPSNNW LAMC2 B*44486 EEESLLTSF PTPRZ1 B*44 487 LEMPHYSTF PTPRZ1 B*44 488 SENPETITY PTPRZ1B*44 489 SEYADTHYF CLNK B*44 490 TENRYCVQL JUP, KRT13, KRT17 B*44 491YEVDTVLRY BCAN B*44 492 AEHNFVAKA CLEC17A B*44 493 ALNPYQYQY DLX5 B*44494 KEITGFLLI EGFR B*44 495 RENQVLGSGW FCRL2 B*44 496 AEIGEGAYGKVF CDK6B*44 497 GEGAYGKVF CDK6 B*44 498 REAGFQVKAY FCRLA B*44 499 VTEEPQRLFYBMF B*44 500 QEVLLQTFL APOB B*44 501 KEGDLGGKQW ADAMTS12 B*44 502MEVPVIKI ECT2 B*44 503 ASSSGPMRWW LAMB3 B*44 504 KESQLPTVM APOB B*44 505AEDNLIHKF NLRP2 B*44 506 QESDLRLFL NLRP2, NLRP7 B*44 507 QQFLTALFYNLRP2, NLRP7 B*44 508 AESEDLAVHL RALGPS2 B*44 509 AESEDLAVHLY RALGPS2B*44 510 SEDLAVHLY RALGPS2 B*44 511 AEAVLKTLQEL APOB B*44 512 AEPLVGQRWGDF7 B*44 513 AEKDGKLTDY PTPRZ1 B*44 514 EENKPGIVY BTLA B*44 515AEGGKVPIKW EGFR B*44 516 DEYLIPQQGF EGFR B*44 517 TEATMTFKY APOB B*44518 FELPTGAGL APOB B*44

The present invention furthermore generally relates to the peptidesaccording to the present invention for use in the treatment ofproliferative diseases, such as, for example, acute myeloid leukemia,breast cancer, cholangiocellular carcinoma, chronic lymphocyticleukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastriccancer, hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer.

Particularly preferred are the peptides—alone or incombination—according to the present invention selected from the groupconsisting of SEQ ID NO: 1 to SEQ ID NO: 518. More preferred are thepeptides—alone or in combination—selected from the group consisting ofSEQ ID NO: 1 to SEQ ID NO: 48 (see Table 1), and their uses in theimmunotherapy of acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer, and preferably acute myeloid leukemia,breast cancer, cholangiocellular carcinoma, chronic lymphocyticleukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastriccancer, hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer.

Thus, another aspect of the present invention relates to the use of thepeptides according to the present invention for the—preferablycombined—treatment of a proliferative disease selected from the group ofacute myeloid leukemia, breast cancer, cholangiocellular carcinoma,chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer.

The present invention furthermore relates to peptides according to thepresent invention that have the ability to bind to a molecule of thehuman major histocompatibility complex (MHC) class-I or—in an elongatedform, such as a length-variant—MHC class-II.

The present invention further relates to the peptides according to thepresent invention wherein said peptides (each) consist or consistessentially of an amino acid sequence according to SEQ ID NO: 1 to SEQID NO: 518.

The present invention further relates to the peptides according to thepresent invention, wherein said peptide is modified and/or includesnon-peptide bonds.

The present invention further relates to the peptides according to thepresent invention, wherein said peptide is part of a fusion protein, inparticular fused to the N-terminal amino acids of the HLA-DRantigen-associated invariant chain (Ii), or fused to (or into thesequence of) an antibody, such as, for example, an antibody that isspecific for dendritic cells.

The present invention further relates to a nucleic acid, encoding thepeptides according to the present invention. The present inventionfurther relates to the nucleic acid according to the present inventionthat is DNA, cDNA, PNA, RNA or combinations thereof.

The present invention further relates to an expression vector capable ofexpressing and/or expressing a nucleic acid according to the presentinvention.

The present invention further relates to a peptide according to thepresent invention, a nucleic acid according to the present invention oran expression vector according to the present invention for use in thetreatment of diseases and in medicine, in particular in the treatment ofcancer.

The present invention further relates to antibodies that are specificagainst the peptides according to the present invention or complexes ofsaid peptides according to the present invention with MHC, and methodsof making these.

The present invention further relates to T-cell receptors (TCRs), inparticular soluble TCR (sTCRs) and cloned TCRs engineered intoautologous or allogeneic T cells, and methods of making these, as wellas NK cells or other cells bearing said TCR or cross-reacting with saidTCRs.

The antibodies and TCRs are additional embodiments of theimmunotherapeutic use of the peptides according to the invention athand.

The present invention further relates to a host cell comprising anucleic acid according to the present invention or an expression vectoras described before. The present invention further relates to the hostcell according to the present invention that is an antigen presentingcell, and preferably is a dendritic cell.

The present invention further relates to a method for producing apeptide according to the present invention, said method comprisingculturing the host cell according to the present invention, andisolating the peptide from said host cell or its culture medium.

The present invention further relates to said method according to thepresent invention, wherein the antigen is loaded onto class I or II MHCmolecules expressed on the surface of a suitable antigen-presenting cellor artificial antigen-presenting cell by contacting a sufficient amountof the antigen with an antigen-presenting cell.

The present invention further relates to the method according to thepresent invention, wherein the antigen-presenting cell comprises anexpression vector capable of expressing or expressing said peptidecontaining SEQ ID No. 1 to SEQ ID No.: 518, preferably containing SEQ IDNo. 1 to SEQ ID No. 48, or a variant amino acid sequence.

The present invention further relates to activated T cells, produced bythe method according to the present invention, wherein said T cellselectively recognizes a cell which expresses a polypeptide comprisingan amino acid sequence according to the present invention.

In an aspect, the activated T cells may be produced by contacting invitro T cells with antigen loaded human class I or II MHC moleculespresented on the surface of a suitable antigen-presenting cell or anartificial construct mimicking an antigen-presenting cell for a periodof time sufficient to activate said T cells.

The present invention further relates to a method of killing targetcells in a patient, in which the target cells aberrantly express apolypeptide comprising any amino acid sequence according to the presentinvention, the method comprising administering to the patient aneffective number of T cells as produced according to the presentinvention.

The present invention further relates to a method of treating a patientwho has cancer, in which the cancer cells express a polypeptidecomprising any amino acid sequence according to the present invention,the method comprising administering to the patient an effective numberof T cells as produced according to the present invention.

The present invention further relates to a method of eliciting an immuneresponse in a patient who has cancer, in which the cancer cellsaberrantly express a polypeptide comprising any amino acid sequenceaccording to the present invention, the method comprising administeringto the patient an effective number of T cells as produced according tothe present invention.

In an aspect, the T cells may be autologous to the patient. In anotheraspect, the T cells may be allogenic to the patient.

In another aspect, the T cells may be obtained from a healthy donor.

In another aspect, the T cells may be derived from tumor infiltratinglymphocytes or peripheral blood mononuclear cells.

In another aspect, the immune response may include cytotoxic T cellresponse.

The present invention further relates to the use of any peptide asdescribed, the nucleic acid according to the present invention, theexpression vector according to the present invention, the cell accordingto the present invention, the activated T lymphocyte, the T cellreceptor or the antibody or other peptide- and/or peptide-MHC-bindingmolecules according to the present invention as a medicament or in themanufacture of a medicament. Preferably, said medicament is activeagainst cancer.

Preferably, said medicament is a cellular therapy, a vaccine or aprotein based on a soluble TCR or antibody.

The present invention further relates to a use according to the presentinvention, wherein said cancer cells are acute myeloid leukemia, breastcancer, cholangiocellular carcinoma, chronic lymphocytic leukemia,colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer,hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer, and preferably acutemyeloid leukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancercells.

The present invention further relates to biomarkers based on thepeptides according to the present invention, herein called “targets”that can be used in the diagnosis of cancer, preferably acute myeloidleukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer.The marker can be over-presentation of the peptide(s) themselves, orover-expression of the corresponding gene(s). The markers may also beused to predict the probability of success of a treatment, preferably animmunotherapy, and most preferred an immunotherapy targeting the sametarget that is identified by the biomarker. For example, an antibody orsoluble TCR can be used to stain sections of the tumor to detect thepresence of a peptide of interest in complex with MHC.

Optionally the antibody carries a further effector function such as animmune stimulating domain or toxin.

The present invention also relates to the use of these novel targets inthe context of cancer treatment.

Stimulation of an immune response is dependent upon the presence ofantigens recognized as foreign by the host immune system. The discoveryof the existence of tumor associated antigens has raised the possibilityof using a host's immune system to intervene in tumor growth. Variousmechanisms of harnessing both the humoral and cellular arms of theimmune system are currently being explored for cancer immunotherapy.

Specific elements of the cellular immune response are capable ofspecifically recognizing and destroying tumor cells. The isolation ofT-cells from tumor-infiltrating cell populations or from peripheralblood suggests that such cells play an important role in natural immunedefense against cancer. CD8-positive T-cells, which recognize class Imolecules of the major histocompatibility complex (MHC)-bearing peptidesof usually 8 to 10 amino acid residues derived from proteins or defectribosomal products (DRIPS) located in the cytosol, play an importantrole in this response. The MHC-molecules of the human are alsodesignated as human leukocyte-antigens (HLA).

As used herein and except as noted otherwise all terms are defined asgiven below.

The term “T-cell response” means the specific proliferation andactivation of effector functions induced by a peptide in vitro or invivo. For MHC class I restricted cytotoxic T cells, effector functionsmay be lysis of peptide-pulsed, peptide-precursor pulsed or naturallypeptide-presenting target cells, secretion of cytokines, preferablyInterferon-gamma, TNF-alpha, or IL-2 induced by peptide, secretion ofeffector molecules, preferably granzymes or perforins induced bypeptide, or degranulation.

The term “peptide” is used herein to designate a series of amino acidresidues, connected one to the other typically by peptide bonds betweenthe alpha-amino and carbonyl groups of the adjacent amino acids. Thepeptides are preferably 9 amino acids in length but can be as short as 8amino acids in length, and as long as 10, 11, or 12, or longer, and incase of MHC class II peptides (elongated variants of the peptides of theinvention) they can be as long as 13, 14, 15, 16, 17, 18, 19 or 20 ormore amino acids in length.

Furthermore, the term “peptide” shall include salts of a series of aminoacid residues, connected one to the other typically by peptide bondsbetween the alpha-amino and carbonyl groups of the adjacent amino acids.Preferably, the salts are pharmaceutical acceptable salts of thepeptides, such as, for example, the chloride or acetate(trifluoroacetate) salts. It has to be noted that the salts of thepeptides according to the present invention differ substantially fromthe peptides in their state(s) in vivo, as the peptides are not salts invivo.

The term “peptide” shall also include “oligopeptide”. The term“oligopeptide” is used herein to designate a series of amino acidresidues, connected one to the other typically by peptide bonds betweenthe alpha-amino and carbonyl groups of the adjacent amino acids. Thelength of the oligopeptide is not critical to the invention, as long asthe correct epitope or epitopes are maintained therein. Theoligopeptides are typically less than about 30 amino acid residues inlength, and greater than about 15 amino acids in length.

The term “polypeptide” designates a series of amino acid residues,connected one to the other typically by peptide bonds between thealpha-amino and carbonyl groups of the adjacent amino acids. The lengthof the polypeptide is not critical to the invention as long as thecorrect epitopes are maintained. In contrast to the terms peptide oroligopeptide, the term polypeptide is meant to refer to moleculescontaining more than about 30 amino acid residues.

A peptide, oligopeptide, protein or polynucleotide coding for such amolecule is “immunogenic” (and thus is an “immunogen” within the presentinvention), if it is capable of inducing an immune response. In the caseof the present invention, immunogenicity is more specifically defined asthe ability to induce a T-cell response. Thus, an “immunogen” would be amolecule that is capable of inducing an immune response, and in the caseof the present invention, a molecule capable of inducing a T-cellresponse. In another aspect, the immunogen can be the peptide, thecomplex of the peptide with MHC, oligopeptide, and/or protein that isused to raise specific antibodies or TCRs against it.

A class I T cell “epitope” requires a short peptide that is bound to aclass I MHC receptor, forming a ternary complex (MHC class I alphachain, beta-2-microglobulin, and peptide) that can be recognized by a Tcell bearing a matching T-cell receptor binding to the MHC/peptidecomplex with appropriate affinity. Peptides binding to MHC class Imolecules are typically 8-14 amino acids in length, and most typically 9amino acids in length.

In humans there are three different genetic loci that encode MHC class Imolecules (the MHC-molecules of the human are also designated humanleukocyte antigens (HLA)): HLA-A, HLA-B, and HLA-C. HLA-A*01, HLA-A*02,and HLA-B*07 are examples of different MHC class I alleles that can beexpressed from these loci.

TABLE 4 Expression frequencies F of HLA-A*02, HLA-A*01, HLA-A*03,HLA-A*24, HLA-B*07, HLA-B*08 and HLA-B*44 serotypes. Haplotypefrequencies Gf are derived from a study which used HLA-typing data froma registry of more than 6.5 million volunteer donors in the U.S.(Gragert et al., 2013). The haplotype frequency is the frequency of adistinct allele on an individual chromosome. Due to the diploid set ofchromosomes within mammalian cells, the frequency of genotypicoccurrence of this allele is higher and can be calculated employing theHardy-Weinberg principle (F = 1 − (1 − Gf)²). Calculated phenotype fromAllele Population allele frequency (F) A*02 African (N = 28557) 32.3%European Caucasian (N = 1242890) 49.3% Japanese (N = 24582) 42.7%Hispanic, S + Cent Amer. (N = 146714) 46.1% Southeast Asian (N = 27978)30.4% A*01 African (N = 28557) 10.2% European Caucasian (N = 1242890)30.2% Japanese (N = 24582) 1.8% Hispanic, S + Cent Amer. (N = 146714)14.0% Southeast Asian (N = 27978) 21.0% A*03 African (N = 28557) 14.8%European Caucasian (N = 1242890) 26.4% Japanese (N = 24582) 1.8%Hispanic, S + Cent Amer. (N = 146714) 14.4% Southeast Asian (N = 27978)10.6% A*24 African (N = 28557) 2.0% European Caucasian (N = 1242890)8.6% Japanese (N = 24582) 35.5% Hispanic, S + Cent Amer. (N = 146714)13.6% Southeast Asian (N = 27978) 16.9% B*07 African (N = 28557) 14.7%European Caucasian (N = 1242890) 25.0% Japanese (N = 24582) 11.4%Hispanic, S + Cent Amer. (N = 146714) 12.2% Southeast Asian (N = 27978)10.4% B*08 African (N = 28557) 6.0% European Caucasian (N = 1242890)21.6% Japanese (N = 24582) 1.0% Hispanic, S + Cent Amer. (N = 146714)7.6% Southeast Asian (N = 27978) 6.2% B*44 African (N = 28557) 10.6%European Caucasian (N = 1242890) 26.9% Japanese (N = 24582) 13.0%Hispanic, S + Cent Amer. (N = 146714) 18.2% Southeast Asian (N = 27978)13.1%

The peptides of the invention, preferably when included into a vaccineof the invention as described herein bind to B*44. A vaccine may alsoinclude pan-binding MHC class II peptides. Therefore, the vaccine of theinvention can be used to treat cancer in patients that areB*44-positive, whereas no selection for MHC class II allotypes isnecessary due to the pan-binding nature of these peptides.

If A*02 peptides of the invention are combined with peptides binding toanother allele, for example A*24, a higher percentage of any patientpopulation can be treated compared with addressing either MHC class Iallele alone. While in most populations less than 50% of patients couldbe addressed by either allele alone, a vaccine comprising HLA-A*24 andHLA-A*02 epitopes can treat at least 60% of patients in any relevantpopulation. Specifically, the following percentages of patients will bepositive for at least one of these alleles in various regions: USA 61%,Western Europe 62%, China 75%, South Korea 77%, Japan 86% (calculatedfrom allelefrequencies.net).

TABLE 5 HLA alleles coverage in European Caucasian population(calculated from (Gragert et al., 2013)). coverage combined (at leastcombined combined with B*07 one A-allele) with B*07 with B*44 and B*44A*02/A*01 70% 78% 78% 84% A*02/A*03 68% 76% 76% 83% A*02/A*24 61% 71%71% 80% A*′01/A*03 52% 64% 65% 75% A*01/A*24 44% 58% 59% 71% A*03/A*2440% 55% 56% 69% A*02/A*01/A*03 84% 88% 88% 91% A*02/A*01/A*24 79% 84%84% 89% A*02/A*03/A*24 77% 82% 83% 88% A*01/A*03/A*24 63% 72% 73% 81%A*02/A*01/A*03/ 90% 92% 93% 95% A*24

In a preferred embodiment, the term “nucleotide sequence” refers to aheteropolymer of deoxyribonucleotides.

The nucleotide sequence coding for a particular peptide, oligopeptide,or polypeptide may be naturally occurring or they may be syntheticallyconstructed. Generally, DNA segments encoding the peptides,polypeptides, and proteins of this invention are assembled from cDNAfragments and short oligonucleotide linkers, or from a series ofoligonucleotides, to provide a synthetic gene that is capable of beingexpressed in a recombinant transcriptional unit comprising regulatoryelements derived from a microbial or viral operon.

As used herein the term “a nucleotide coding for (or encoding) apeptide” refers to a nucleotide sequence coding for the peptideincluding artificial (man-made) start and stop codons compatible for thebiological system the sequence is to be expressed by, for example, adendritic cell or another cell system useful for the production of TCRs.

As used herein, reference to a nucleic acid sequence includes bothsingle stranded and double stranded nucleic acid. Thus, for example forDNA, the specific sequence, unless the context indicates otherwise,refers to the single strand DNA of such sequence, the duplex of suchsequence with its complement (double stranded DNA) and the complement ofsuch sequence.

The term “coding region” refers to that portion of a gene which eithernaturally or normally codes for the expression product of that gene inits natural genomic environment, i.e., the region coding in vivo for thenative expression product of the gene.

The coding region can be derived from a non-mutated (“normal”), mutatedor altered gene, or can even be derived from a DNA sequence, or gene,wholly synthesized in the laboratory using methods well known to thoseof skill in the art of DNA synthesis.

The term “expression product” means the polypeptide or protein that isthe natural translation product of the gene and any nucleic acidsequence coding equivalents resulting from genetic code degeneracy andthus coding for the same amino acid(s).

The term “fragment”, when referring to a coding sequence, means aportion of DNA comprising less than the complete coding region, whoseexpression product retains essentially the same biological function oractivity as the expression product of the complete coding region.

The term “DNA segment” refers to a DNA polymer, in the form of aseparate fragment or as a component of a larger DNA construct, which hasbeen derived from DNA isolated at least once in substantially pure form,i.e., free of contaminating endogenous materials and in a quantity orconcentration enabling identification, manipulation, and recovery of thesegment and its component nucleotide sequences by standard biochemicalmethods, for example, by using a cloning vector. Such segments areprovided in the form of an open reading frame uninterrupted by internalnon-translated sequences, or introns, which are typically present ineukaryotic genes. Sequences of non-translated DNA may be presentdownstream from the open reading frame, where the same do not interferewith manipulation or expression of the coding regions.

The term “primer” means a short nucleic acid sequence that can be pairedwith one strand of DNA and provides a free 3′-OH end at which a DNApolymerase starts synthesis of a deoxyribonucleotide chain.

The term “promoter” means a region of DNA involved in binding of RNApolymerase to initiate transcription.

The term “isolated” means that the material is removed from its originalenvironment (e.g., the natural environment, if it is naturallyoccurring). For example, a naturally-occurring polynucleotide orpolypeptide present in a living animal is not isolated, but the samepolynucleotide or polypeptide, separated from some or all of thecoexisting materials in the natural system, is isolated. Suchpolynucleotides could be part of a vector and/or such polynucleotides orpolypeptides could be part of a composition, and still be isolated inthat such vector or composition is not part of its natural environment.

The polynucleotides, and recombinant or immunogenic polypeptides,disclosed in accordance with the present invention may also be in“purified” form. The term “purified” does not require absolute purity;rather, it is intended as a relative definition, and can includepreparations that are highly purified or preparations that are onlypartially purified, as those terms are understood by those of skill inthe relevant art. For example, individual clones isolated from a cDNAlibrary have been conventionally purified to electrophoretichomogeneity. Purification of starting material or natural material to atleast one order of magnitude, preferably two or three orders, and morepreferably four or five orders of magnitude is expressly contemplated.Furthermore, a claimed polypeptide which has a purity of preferably99.999%, or at least 99.99% or 99.9%; and even desirably 99% by weightor greater is expressly encompassed.

The nucleic acids and polypeptide expression products disclosedaccording to the present invention, as well as expression vectorscontaining such nucleic acids and/or such polypeptides, may be in“enriched form”. As used herein, the term “enriched” means that theconcentration of the material is at least about 2, 5, 10, 100, or 1000times its natural concentration (for example), advantageously 0.01%, byweight, preferably at least about 0.1% by weight. Enriched preparationsof about 0.5%, 1%, 5%, 10%, and 20% by weight are also contemplated. Thesequences, constructs, vectors, clones, and other materials comprisingthe present invention can advantageously be in enriched or isolatedform. The term “active fragment” means a fragment, usually of a peptide,polypeptide or nucleic acid sequence, that generates an immune response(i.e., has immunogenic activity) when administered, alone or optionallywith a suitable adjuvant or in a vector, to an animal, such as a mammal,for example, a rabbit or a mouse, and also including a human, suchimmune response taking the form of stimulating a T-cell response withinthe recipient animal, such as a human. Alternatively, the “activefragment” may also be used to induce a T-cell response in vitro.

As used herein, the terms “portion”, “segment” and “fragment”, when usedin relation to polypeptides, refer to a continuous sequence of residues,such as amino acid residues, which sequence forms a subset of a largersequence. For example, if a polypeptide were subjected to treatment withany of the common endopeptidases, such as trypsin or chymotrypsin, theoligopeptides resulting from such treatment would represent portions,segments or fragments of the starting polypeptide. When used in relationto polynucleotides, these terms refer to the products produced bytreatment of said polynucleotides with any of the endonucleases.

In accordance with the present invention, the term “percent identity” or“percent identical”, when referring to a sequence, means that a sequenceis compared to a claimed or described sequence after alignment of thesequence to be compared (the “Compared Sequence”) with the described orclaimed sequence (the “Reference Sequence”). The percent identity isthen determined according to the following formula:

percent identity=100 [1−(C/R)]

wherein C is the number of differences between the Reference Sequenceand the Compared Sequence over the length of alignment between theReference Sequence and the Compared Sequence, wherein

-   -   (i) each base or amino acid in the Reference Sequence that does        not have a corresponding aligned base or amino acid in the        Compared Sequence and    -   (ii) each gap in the Reference Sequence and    -   (iii) each aligned base or amino acid in the Reference Sequence        that is different from an aligned base or amino acid in the        Compared Sequence, constitutes a difference and    -   (iv) the alignment has to start at position 1 of the aligned        sequences;        and R is the number of bases or amino acids in the Reference        Sequence over the length of the alignment with the Compared        Sequence with any gap created in the Reference Sequence also        being counted as a base or amino acid.

If an alignment exists between the Compared Sequence and the ReferenceSequence for which the percent identity as calculated above is aboutequal to or greater than a specified minimum Percent Identity, then theCompared Sequence has the specified minimum percent identity to theReference Sequence even though alignments may exist in which the hereinabove calculated percent identity is less than the specified percentidentity.

As mentioned above, the present invention thus provides a peptidecomprising a sequence that is selected from the group consisting of SEQID NO: 1 to SEQ ID NO: 518 or a variant thereof which is 88% homologousto SEQ ID NO: 1 to SEQ ID NO: 518, or a variant thereof that will induceT cells cross-reacting with said peptide. The peptides of the inventionhave the ability to bind to a molecule of the human majorhistocompatibility complex (MHC) class-I or elongated versions of saidpeptides to class II.

In the present invention, the term “homologous” refers to the degree ofidentity (see percent identity above) between sequences of two aminoacid sequences, i.e. peptide or polypeptide sequences. Theaforementioned “homology” is determined by comparing two sequencesaligned under optimal conditions over the sequences to be compared. Sucha sequence homology can be calculated by creating an alignment using,for example, the ClustalW algorithm. Commonly available sequenceanalysis software, more specifically, Vector NTI, GENETYX or other toolsare provided by public databases.

A person skilled in the art will be able to assess, whether T cellsinduced by a variant of a specific peptide will be able to cross-reactwith the peptide itself (Appay et al., 2006; Colombetti et al., 2006;Fong et al., 2001; Zaremba et al., 1997).

By a “variant” of the given amino acid sequence the inventors mean thatthe side chains of, for example, one or two of the amino acid residuesare altered (for example by replacing them with the side chain ofanother naturally occurring amino acid residue or some other side chain)such that the peptide is still able to bind to an HLA molecule insubstantially the same way as a peptide consisting of the given aminoacid sequence in consisting of SEQ ID NO: 1 to SEQ ID NO: 518. Forexample, a peptide may be modified so that it at least maintains, if notimproves, the ability to interact with and bind to the binding groove ofa suitable MHC molecule, such as HLA-A*02 or -DR, and in that way, it atleast maintains, if not improves, the ability to bind to the TCR ofactivated T cells.

These T cells can subsequently cross-react with cells and kill cellsthat express a polypeptide that contains the natural amino acid sequenceof the cognate peptide as defined in the aspects of the invention. Ascan be derived from the scientific literature and databases (Godkin etal., 1997; Rammensee et al., 1999), certain positions of HLA bindingpeptides are typically anchor residues forming a core sequence fittingto the binding motif of the HLA receptor, which is defined by polar,electrophysical, hydrophobic and spatial properties of the polypeptidechains constituting the binding groove. Thus, one skilled in the artwould be able to modify the amino acid sequences set forth in SEQ ID NO:1 to SEQ ID NO 518, by maintaining the known anchor residues, and wouldbe able to determine whether such variants maintain the ability to bindMHC class I or II molecules. The variants of the present inventionretain the ability to bind to the TCR of activated T cells, which cansubsequently cross-react with and kill cells that express a polypeptidecontaining the natural amino acid sequence of the cognate peptide asdefined in the aspects of the invention.

The original (unmodified) peptides as disclosed herein can be modifiedby the substitution of one or more residues at different, possiblyselective, sites within the peptide chain, if not otherwise stated.Preferably those substitutions are located at the end of the amino acidchain. Such substitutions may be of a conservative nature, for example,where one amino acid is replaced by an amino acid of similar structureand characteristics, such as where a hydrophobic amino acid is replacedby another hydrophobic amino acid. Even more conservative would bereplacement of amino acids of the same or similar size and chemicalnature, such as where leucine is replaced by isoleucine. In studies ofsequence variations in families of naturally occurring homologousproteins, certain amino acid substitutions are more often tolerated thanothers, and these are often show correlation with similarities in size,charge, polarity, and hydrophobicity between the original amino acid andits replacement, and such is the basis for defining “conservativesubstitutions.”

Conservative substitutions are herein defined as exchanges within one ofthe following five groups: Group 1-small aliphatic, nonpolar or slightlypolar residues (Ala, Ser, Thr, Pro, Gly); Group 2-polar, negativelycharged residues and their amides (Asp, Asn, Glu, Gln); Group 3-polar,positively charged residues (His, Arg, Lys); Group 4-large, aliphatic,nonpolar residues (Met, Leu, Ile, Val, Cys); and Group 5-large, aromaticresidues (Phe, Tyr, Trp).

In an aspect, conservative substitutions may include those, which aredescribed by Dayhoff in “The Atlas of Protein Sequence and Structure.Vol. 5”, Natl. Biomedical Research, the contents of which areincorporated by reference in their entirety. For example, in an aspect,amino acids, which belong to one of the following groups, can beexchanged for one another, thus, constituting a conservative exchange:Group 1: alanine (A), proline (P), glycine (G), asparagine (N), serine(S), threonine (T); Group 2: cysteine (C), serine (S), tyrosine (Y),threonine (T); Group 3: valine (V), isoleucine (I), leucine (L),methionine (M), alanine (A), phenylalanine (F); Group 4: lysine (K),arginine (R), histidine (H); Group 5: phenylalanine (F), tyrosine (Y),tryptophan (W), histidine (H); and Group 6: aspartic acid (D), glutamicacid (E). In an aspect, a conservative amino acid substitution may beselected from the following of T→A, G→A, T→V, A→M, A→V, T→G, and/or T→S.

In an aspect, a conservative amino acid substitution may include thesubstitution of an amino acid by another amino acid of the same class,for example, (1) nonpolar: Ala, Val, Leu, Ile, Pro, Met, Phe, Trp; (2)uncharged polar: Gly, Ser, Thr, Cys, Tyr, Asn, Gln; (3) acidic: Asp,Glu; and (4) basic: Lys, Arg, His. Other conservative amino acidsubstitutions may also be made as follows: (1) aromatic: Phe, Tyr, His;(2) proton donor: Asn, Gln, Lys, Arg, His, Trp; and (3) proton acceptor:Glu, Asp, Thr, Ser, Tyr, Asn, Gln (see, for example, U.S. Pat. No.10,106,805, the contents of which are incorporated by reference in theirentirety).

In another aspect, conservative substitutions may be made in accordancewith Table A. Methods for predicting tolerance to protein modificationmay be found in, for example, Guo et al., Proc. Natl. Acad. Sci., USA,101(25):9205-9210 (2004), the contents of which are incorporated byreference in their entirety.

TABLE A Conservative Amino Acid Substitutions Amino Acid Substitutions(others are known in the art) Ala Ser, Gly, Cys Arg Lys, Gln, His AsnGln, His, Glu, Asp Asp Glu, Asn, Gln Cys Ser, Met, Thr Gln Asn, Lys,Glu, Asp, Arg Glu Asp, Asn, Gln Gly Pro, Ala, Ser His Asn, Gln, Lys IleLeu, Val, Met, Ala Leu Ile, Val, Met, Ala Lys Arg, Gln, His Met Leu,Ile, Val, Ala, Phe Phe Met, Leu, Tyr, Trp, His Ser Thr, Cys, Ala ThrSer, Val, Ala Trp Tyr, Phe Tyr Trp, Phe, His Val Ile, Leu, Met, Ala, Thr

In another aspect, conservative substitutions may be those shown inTable B under the heading of “conservative substitutions.” If suchsubstitutions result in a change in biological activity, then moresubstantial changes, denominated “exemplary substitutions” in Table B,may be introduced and the products screened if needed.

TABLE B Amino Acid Substitutions Original Residue (naturally occurringConservative Exemplary amino acid) Substitutions Substitutions Ala (A)Val Val; Leu; Ile Arg (R) Lys Lys; Gln; Asn Asn (N) Gln Gln; His; Asp,Lys; Arg Asp (D) Glu Glu; Asn Cys (C) Ser Ser; Ala Gln (Q) Asn Asn; GluGlu (E) Asp Asp; Gln Gly (G) Ala Ala His (H) Arg Asn; Gln; Lys; Arg Ile(I) Leu Leu; Val; Met; Ala; Phe; Norleucine Leu (L) Ile Norleucine; Ile;Val; Met; Ala; Phe Lys (K) Arg Arg; Gln; Asn Met (M) Leu Leu; Phe; IlePhe (F) Tyr Leu; Val; Ile; Ala; Tyr Pro (P) Ala Ala Ser (S) Thr Thr Thr(T) Ser Ser Trp (W) Tyr Tyr; Phe Tyr (Y) Phe Trp; Phe; Thr; Ser Val (V)Leu Ile; Leu; Met; Phe; Ala; Norleucine

Less conservative substitutions might involve the replacement of oneamino acid by another that has similar characteristics but is somewhatdifferent in size, such as replacement of an alanine by an isoleucineresidue. Highly non-conservative replacements might involve substitutingan acidic amino acid for one that is polar, or even for one that isbasic in character. Such “radical” substitutions cannot, however, bedismissed as potentially ineffective since chemical effects are nottotally predictable and radical substitutions might well give rise toserendipitous effects not otherwise predictable from simple chemicalprinciples.

Of course, such substitutions may involve structures other than thecommon L-amino acids. Thus, D-amino acids might be substituted for theL-amino acids commonly found in the antigenic peptides of the inventionand yet still be encompassed by the disclosure herein. In addition,non-standard amino acids (i.e., other than the common naturallyoccurring proteinogenic amino acids) may also be used for substitutionpurposes to produce immunogens and immunogenic polypeptides according tothe present invention.

If substitutions at more than one position are found to result in apeptide with substantially equivalent or greater antigenic activity asdefined below, then combinations of those substitutions will be testedto determine if the combined substitutions result in additive orsynergistic effects on the antigenicity of the peptide. At most, no morethan 4 positions within the peptide would be simultaneously substituted.

A peptide consisting essentially of the amino acid sequence as indicatedherein can have one or two non-anchor amino acids (see below regardingthe anchor motif) exchanged without that the ability to bind to amolecule of the human major histocompatibility complex (MHC) class-I or—II is substantially changed or is negatively affected, when compared tothe non-modified peptide. In another embodiment, in a peptide consistingessentially of the amino acid sequence as indicated herein, one or twoamino acids can be exchanged with their conservative exchange partners(see herein below) without that the ability to bind to a molecule of thehuman major histocompatibility complex (MHC) class-I or —II issubstantially changed, or is negatively affected, when compared to thenon-modified peptide.

The amino acid residues that do not substantially contribute tointeractions with the T-cell receptor can be modified by replacementwith other amino acid whose incorporation does not substantially affectT-cell reactivity and does not eliminate binding to the relevant MHC.Thus, apart from the proviso given, the peptide of the invention may beany peptide (by which term the inventors include oligopeptide orpolypeptide), which includes the amino acid sequences or a portion orvariant thereof as given.

TABLE 6 Variants and motif of the peptides according to SEQ ID NO: 5,40, 52, and 101 Position 1 2 3 4 5 6 7 8 SEQ ID No 5 V E F L L L K YVariant F W L D F D W D D L Position 1 2 3 4 5 6 7 8 9 10 11 SEQ ID No40 R E V D P D D S Y V F Variant W Y L D D W D Y D L Position 1 2 3 4 56 7 8 9 SEQ ID No 52 E D N P S G H T Y Variant E F E W E E L F W LPosition 1 2 3 4 5 6 7 8 9 SEQ ID No 101 S E E N T G K T Y Variant F W LD F D W D D L

Longer (elongated) peptides may also be suitable. It is possible thatMHC class I epitopes, although usually between 8 and 11 amino acidslong, are generated by peptide processing from longer peptides orproteins that include the actual epitope. It is preferred that theresidues that flank the actual epitope are residues that do notsubstantially affect proteolytic cleavage necessary to expose the actualepitope during processing.

The peptides of the invention can be elongated by up to four aminoacids, that is 1, 2, 3 or 4 amino acids can be added to either end inany combination between 4:0 and 0:4. Combinations of the elongationsaccording to the invention can be found in Table 7.

TABLE 7 Combinations of the elongations of peptides of the inventionC-terminus N-terminus 4 0 3 0 or 1 2 0 or 1 or 2 1 0 or 1 or 2 or 3 0 0or 1 or 2 or 3 or 4 N-terminus C-terminus 4 0 3 0 or 1 2 0 or 1 or 2 1 0or 1 or 2 or 3 0 0 or 1 or 2 or 3 or 4

The amino acids for the elongation/extension can be the peptides of theoriginal sequence of the protein or any other amino acid(s). Theelongation can be used to enhance the stability or solubility of thepeptides.

Thus, the epitopes of the present invention may be identical tonaturally occurring tumor-associated or tumor-specific epitopes or mayinclude epitopes that differ by no more than four residues from thereference peptide, as long as they have substantially identicalantigenic activity.

In an alternative embodiment, the peptide is elongated on either or bothsides by more than 4 amino acids, preferably to a total length of up to30 amino acids. This may lead to MHC class II binding peptides. Bindingto MHC class II can be tested by methods known in the art.

Accordingly, the present invention provides peptides and variants of MHCclass I epitopes, wherein the peptide or variant has an overall lengthof between 8 and 100, preferably between 8 and 30, and most preferredbetween 8 and 14, namely 8, 9, 10, 11, 12, 13, 14 amino acids, in caseof the elongated class II binding peptides the length can also be 15,16, 17, 18, 19, 20, 21 or 22 amino acids.

Of course, the peptide or variant according to the present inventionwill have the ability to bind to a molecule of the human majorhistocompatibility complex (MHC) class I or II. Binding of a peptide ora variant to an MHC complex may be tested by methods known in the art.

Preferably, when the T cells specific for a peptide according to thepresent invention are tested against the substituted peptides, thepeptide concentration at which the substituted peptides achieve half themaximal increase in lysis relative to background is no more than about 1mM, preferably no more than about 1 μM, more preferably no more thanabout 1 nM, and still more preferably no more than about 100 μM, andmost preferably no more than about 10 pM. It is also preferred that thesubstituted peptide be recognized by T cells from more than oneindividual, at least two, and more preferably three individuals.

In a particularly preferred embodiment of the invention the peptideconsists or consists essentially of an amino acid sequence according toSEQ ID NO: 1 to SEQ ID NO: 518.

“Consisting essentially of” shall mean that a peptide according to thepresent invention, in addition to the sequence according to any of SEQID NO: 1 to SEQ ID NO 518 or a variant thereof contains additional N-and/or C-terminally located stretches of amino acids that are notnecessarily forming part of the peptide that functions as an epitope forMHC molecules epitope.

Nevertheless, these stretches can be important to provide an efficientintroduction of the peptide according to the present invention into thecells. In one embodiment of the present invention, the peptide is partof a fusion protein which comprises, for example, the 80 N-terminalamino acids of the HLA-DR antigen-associated invariant chain (p33, inthe following “Ii”) as derived from the NCBI, GenBank Accession numberX00497. In other fusions, the peptides of the present invention can befused to an antibody as described herein, or a functional part thereof,in particular into a sequence of an antibody, so as to be specificallytargeted by said antibody, or, for example, to or into an antibody thatis specific for dendritic cells as described herein.

In addition, the peptide or variant may be modified further to improvestability and/or binding to MHC molecules in order to elicit a strongerimmune response. Methods for such an optimization of a peptide sequenceare well known in the art and include, for example, the introduction ofreverse peptide bonds or non-peptide bonds.

In a reverse peptide bond amino acid residues are not joined by peptide(—CO—NH—) linkages but the peptide bond is reversed. Such retro-inversopeptidomimetics may be made using methods known in the art, for examplesuch as those described in Meziere et al (1997) (Meziere et al., 1997),incorporated herein by reference. This approach involves makingpseudopeptides containing changes involving the backbone, and not theorientation of side chains. Meziere et al. (Meziere et al., 1997) showthat for MHC binding and T helper cell responses, these pseudopeptidesare useful. Retro-inverse peptides, which contain NH—CO bonds instead ofCO—NH peptide bonds, are much more resistant to proteolysis.

A non-peptide bond is, for example, —CH₂—NH, —CH₂S—, —CH₂CH₂—, —CH═CH—,—COCH₂—, —CH(OH)CH₂—, and —CH₂SO—. U.S. Pat. No. 4,897,445 provides amethod for the solid phase synthesis of non-peptide bonds (—CH₂—NH) inpolypeptide chains which involves polypeptides synthesized by standardprocedures and the non-peptide bond synthesized by reacting an aminoaldehyde and an amino acid in the presence of NaCNBH₃.

Peptides comprising the sequences described above may be synthesizedwith additional chemical groups present at their amino and/or carboxytermini, to enhance the stability, bioavailability, and/or affinity ofthe peptides. For example, hydrophobic groups such as carbobenzoxyl,dansyl, or t-butyloxycarbonyl groups may be added to the peptides' aminotermini. Likewise, an acetyl group or a 9-fluorenylmethoxy-carbonylgroup may be placed at the peptides' amino termini. Additionally, thehydrophobic group, t-butyloxycarbonyl, or an amido group may be added tothe peptides' carboxy termini.

Further, the peptides of the invention may be synthesized to alter theirsteric configuration. For example, the D-isomer of one or more of theamino acid residues of the peptide may be used, rather than the usualL-isomer. Still further, at least one of the amino acid residues of thepeptides of the invention may be substituted by one of the well-knownnon-naturally occurring amino acid residues. Alterations such as thesemay serve to increase the stability, bioavailability and/or bindingaction of the peptides of the invention.

Similarly, a peptide or variant of the invention may be modifiedchemically by reacting specific amino acids either before or aftersynthesis of the peptide. Examples for such modifications are well knownin the art and are summarized e.g. in R. Lundblad, Chemical Reagents forProtein Modification, 3rd ed. CRC Press, 2004(Lundblad, 2004), which isincorporated herein by reference. Chemical modification of amino acidsincludes but is not limited to, modification by acylation, amidination,pyridoxylation of lysine, reductive alkylation, trinitrobenzylation ofamino groups with 2,4,6-trinitrobenzene sulphonic acid (TNBS), amidemodification of carboxyl groups and sulphydryl modification by performicacid oxidation of cysteine to cysteic acid, formation of mercurialderivatives, formation of mixed disulphides with other thiol compounds,reaction with maleimide, carboxymethylation with iodoacetic acid oriodoacetamide and carbamoylation with cyanate at alkaline pH, althoughwithout limitation thereto. In this regard, the skilled person isreferred to Chapter 15 of Current Protocols In Protein Science, Eds.Coligan et al. (John Wiley and Sons NY 1995-2000) (Coligan et al., 1995)for more extensive methodology relating to chemical modification ofproteins.

Briefly, modification of e.g. arginyl residues in proteins is oftenbased on the reaction of vicinal dicarbonyl compounds such asphenylglyoxal, 2,3-butanedione, and 1,2-cyclohexanedione to form anadduct. Another example is the reaction of methylglyoxal with arginineresidues. Cysteine can be modified without concomitant modification ofother nucleophilic sites such as lysine and histidine. As a result, alarge number of reagents are available for the modification of cysteine.The websites of companies such as Sigma-Aldrich (sigma-aldrich.com)provide information on specific reagents.

Selective reduction of disulfide bonds in proteins is also common.Disulfide bonds can be formed and oxidized during the heat treatment ofbiopharmaceuticals. Woodward's Reagent K may be used to modify specificglutamic acid residues. N-(3-(dimethylamino)propyl)-N′-ethylcarbodiimidecan be used to form intra-molecular crosslinks between a lysine residueand a glutamic acid residue. For example, diethylpyrocarbonate is areagent for the modification of histidyl residues in proteins. Histidinecan also be modified using 4-hydroxy-2-nonenal. The reaction of lysineresidues and other α-amino groups is, for example, useful in binding ofpeptides to surfaces or the cross-linking of proteins/peptides. Lysineis the site of attachment of poly(ethylene)glycol and the major site ofmodification in the glycosylation of proteins. Methionine residues inproteins can be modified with e.g. iodoacetamide, bromoethylamine, andchloramine T.

Tetranitromethane and N-acetylimidazole can be used for the modificationof tyrosyl residues. Cross-linking via the formation of dityrosine canbe accomplished with hydrogen peroxide/copper ions.

Recent studies on the modification of tryptophan have usedN-bromosuccinimide, 2-hydroxy-5-nitrobenzyl bromide or3-bromo-3-methyl-2-(2-nitrophenylmercapto)-3H-indole (BPNS-skatole).

Successful modification of therapeutic proteins and peptides with PEG isoften associated with an extension of circulatory half-life whilecross-linking of proteins with glutaraldehyde, polyethylene glycoldiacrylate and formaldehyde is used for the preparation of hydrogels.Chemical modification of allergens for immunotherapy is often achievedby carbamylation with potassium cyanate.

A peptide or variant, wherein the peptide is modified or includesnon-peptide bonds is a preferred embodiment of the invention.

Another embodiment of the present invention relates to a non-naturallyoccurring peptide wherein said peptide consists or consists essentiallyof an amino acid sequence according to SEQ ID NO: 1 to SEQ ID NO: 518and has been synthetically produced (e.g. synthesized) as apharmaceutically acceptable salt. Methods to synthetically producepeptides are well known in the art. The salts of the peptides accordingto the present invention differ substantially from the peptides in theirstate(s) in vivo, as the peptides as generated in vivo are no salts. Thenon-natural salt form of the peptide mediates the solubility of thepeptide, in particular in the context of pharmaceutical compositionscomprising the peptides, e.g. the peptide vaccines as disclosed herein.A sufficient and at least substantial solubility of the peptide(s) isrequired in order to efficiently provide the peptides to the subject tobe treated. Preferably, the salts are pharmaceutically acceptable saltsof the peptides. These salts according to the invention include alkalineand earth alkaline salts such as salts of the Hofmeister seriescomprising as anions PO₄ ³⁻, SO₄ ²⁻, CH₃COO⁻, Cl⁻, Br⁻, NO₃ ⁻, ClO₄ ⁻,I⁻, SCN⁻ and as cations NH₄ ⁺, Rb⁺, K⁺, Na⁺, Cs⁺, Li⁺, Zn²⁺, Mg²⁺, Ca²⁺,Mn²⁺, Cu²⁺ and Ba²⁺. Particularly salts are selected from (NH₄)₃PO₄,(NH₄)₂HPO₄, (NH₄)H₂PO₄, (NH₄)₂SO₄, NH₄CH₃COO, NH₄Cl, NH₄Br, NH₄NO₃,NH₄ClO₄, NH₄I, NH₄SCN, Rb₃PO₄, Rb₂HPO₄, RbH₂PO₄, Rb₂SO₄, Rb₄CH₃COO,Rb₄Cl, Rb₄Br, Rb₄NO₃, Rb₄ClO₄, Rb₄I, Rb₄SCN, K₃PO₄, K₂HPO₄, KH₂PO₄,K₂SO₄, KCH₃COO, KCl, KBr, KNO₃, KClO₄, KI, KSCN, Na₃PO₄, Na₂HPO₄,NaH₂PO₄, Na₂SO₄, NaCH₃COO, NaCl, NaBr, NaNO₃, NaClO₄, NaI, NaSCN, ZnCI₂Cs₃PO₄, Cs₂HPO₄, CsH₂PO₄, Cs₂SO₄, CsCH₃COO, CsCl, CsBr, CsNO₃, CsClO₄,CsI, CsSCN, Li₃PO₄, Li₂HPO₄, LiH₂PO₄, Li₂SO₄, LiCH₃COO, LiCl, LiBr,LiNO₃, LiClO₄, LiI, LiSCN, Cu₂SO₄, Mg₃(PO₄)₂, Mg₂HPO₄, Mg(H₂PO₄)₂,Mg₂SO₄, Mg(CH₃COO)₂, MgCl₂, MgBr₂, Mg(NO₃)₂, Mg(ClO₄)₂, MgI₂, Mg(SCN)₂,MnCl₂, Ca₃(PO₄), Ca₂HPO₄, Ca(H₂PO₄)₂, CaSO₄, Ca(CH₃COO)₂, CaCl₂, CaBr₂,Ca(NO₃)₂, Ca(ClO₄)₂, CaI₂, Ca(SCN)₂, Ba₃(PO₄)₂, Ba₂HPO₄, Ba(H₂PO₄)₂,BaSO₄, Ba(CH₃COO)₂, BaCl₂, BaBr₂, Ba(NO₃)₂, Ba(ClO₄)₂, BaI₂, andBa(SCN)₂. Particularly preferred are NH acetate, MgCl₂, KH₂PO₄, Na₂SO₄,KCl, NaCl, and CaCl₂, such as, for example, the chloride or acetate(trifluoroacetate) salts.

Generally, peptides and variants (at least those containing peptidelinkages between amino acid residues) may be synthesized by theFmoc-polyamide mode of solid-phase peptide synthesis as disclosed byLukas et al.(Lukas et al., 1981) and by references as cited therein.Temporary N-amino group protection is afforded by the9-fluorenylmethyloxycarbonyl (Fmoc) group. Repetitive cleavage of thishighly base-labile protecting group is done using 20% piperidine in N,N-dimethylformamide. Side-chain functionalities may be protected astheir butyl ethers (in the case of serine threonine and tyrosine), butylesters (in the case of glutamic acid and aspartic acid),butyloxycarbonyl derivative (in the case of lysine and histidine),trityl derivative (in the case of cysteine) and4-methoxy-2,3,6-trimethylbenzenesulphonyl derivative (in the case ofarginine). Where glutamine or asparagine are C-terminal residues, use ismade of the 4,4′-dimethoxybenzhydryl group for protection of the sidechain amido functionalities. The solid-phase support is based on apolydimethyl-acrylamide polymer constituted from the three monomersdimethylacrylamide (backbone-monomer), bisacryloylethylene diamine(cross linker) and acryloylsarcosine methyl ester (functionalizingagent). The peptide-to-resin cleavable linked agent used is theacid-labile 4-hydroxymethyl-phenoxyacetic acid derivative. All aminoacid derivatives are added as their preformed symmetrical anhydridederivatives with the exception of asparagine and glutamine, which areadded using a reversed N,N-dicyclohexyl-carbodiimide/1hydroxybenzotriazole mediated couplingprocedure. All coupling and deprotection reactions are monitored usingninhydrin, trinitrobenzene sulphonic acid or isotin test procedures.Upon completion of synthesis, peptides are cleaved from the resinsupport with concomitant removal of side-chain protecting groups bytreatment with 95% trifluoroacetic acid containing a 50% scavenger mix.Scavengers commonly used include ethanedithiol, phenol, anisole andwater, the exact choice depending on the constituent amino acids of thepeptide being synthesized. Also a combination of solid phase andsolution phase methodologies for the synthesis of peptides is possible(see, for example, (Bruckdorfer et al., 2004), and the references ascited therein).

Trifluoroacetic acid is removed by evaporation in vacuo, with subsequenttrituration with diethyl ether affording the crude peptide. Anyscavengers present are removed by a simple extraction procedure which onlyophilization of the aqueous phase affords the crude peptide free ofscavengers. Reagents for peptide synthesis are generally available frome.g. Calbiochem-Novabiochem (Nottingham, UK).

Purification may be performed by anyone, or a combination of, techniquessuch as re-crystallization, size exclusion chromatography, ion-exchangechromatography, hydrophobic interaction chromatography and (usually)reverse-phase high performance liquid chromatography using e.g.acetonitrile/water gradient separation.

Analysis of peptides may be carried out using thin layer chromatography,electrophoresis, in particular capillary electrophoresis, solid phaseextraction (CSPE), reverse-phase high performance liquid chromatography,amino-acid analysis after acid hydrolysis and by fast atom bombardment(FAB) mass spectrometric analysis, as well as MALDI and ESI-Q-TOF massspectrometric analysis.

In order to select over-presented peptides, a presentation profile iscalculated showing the median sample presentation as well as replicatevariation. The profile juxtaposes samples of the tumor entity ofinterest to a baseline of normal tissue samples. Each of these profilescan then be consolidated into an over-presentation score by calculatingthe p-value of a Linear Mixed-Effects Model (Pinheiro et al., 2015)adjusting for multiple testing by False Discovery Rate (Benjamini andHochberg, 1995) (cf. Example 1, FIGS. 1A-1M).

For the identification and relative quantitation of HLA ligands by massspectrometry, HLA molecules from shock-frozen tissue samples werepurified and HLA-associated peptides were isolated. The isolatedpeptides were separated and sequences were identified by onlinenano-electrospray-ionization (nanoESI) liquid chromatography-massspectrometry (LC-MS) experiments. The resulting peptide sequences wereverified by comparison of the fragmentation pattern of naturaltumor-associated peptides (TUMAPs) recorded from acute myeloid leukemia,breast cancer, cholangiocellular carcinoma, chronic lymphocyticleukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastriccancer, hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer samples (N=159samples) with the fragmentation patterns of corresponding syntheticreference peptides of identical sequences. Since the peptides weredirectly identified as ligands of HLA molecules of primary tumors, theseresults provide direct evidence for the natural processing andpresentation of the identified peptides on primary cancer tissueobtained from 159 acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer patients.

The discovery pipeline XPRESIDENT® v2.1 (see, for example, US2013-0096016, which is hereby incorporated by reference in its entirety)allows the identification and selection of relevant over-presentedpeptide vaccine candidates based on direct relative quantitation ofHLA-restricted peptide levels on cancer tissues in comparison to severaldifferent non-cancerous tissues and organs. This was achieved by thedevelopment of label-free differential quantitation using the acquiredLC-MS data processed by a proprietary data analysis pipeline, combiningalgorithms for sequence identification, spectral clustering, ioncounting, retention time alignment, charge state deconvolution andnormalization.

Presentation levels including error estimates for each peptide andsample were established. Peptides exclusively presented on tumor tissueand peptides over-presented in tumor versus non-cancerous tissues andorgans have been identified.

HLA-peptide complexes from acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer tissue samples were purified andHLA-associated peptides were isolated and analyzed by LC-MS (see example1). All TUMAPs contained in the present application were identified withthis approach on acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer samples confirming their presentation onacute myeloid leukemia, breast cancer, cholangiocellular carcinoma,chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer.

TUMAPs identified on multiple acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer and normal tissues were quantified usingion-counting of label-free LC-MS data. The method assumes that LC-MSsignal areas of a peptide correlate with its abundance in the sample.All quantitative signals of a peptide in various LC-MS experiments werenormalized based on central tendency, averaged per sample and mergedinto a bar plot, called presentation profile. The presentation profileconsolidates different analysis methods like protein database search,spectral clustering, charge state deconvolution (decharging) andretention time alignment and normalization.

Besides over-presentation of the peptide, mRNA expression of theunderlying gene was tested. mRNA data were obtained via RNASeq analysesof normal tissues and cancer tissues (cf. Example 2, FIGS. 2A-2U).Peptides which are derived from proteins whose coding mRNA is highlyexpressed in cancer tissue, but very low or absent in vital normaltissues, were preferably included in the present invention.

The present invention provides peptides that are useful in treatingcancers/tumors, preferably acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer that over- or exclusively present thepeptides of the invention. These peptides were shown by massspectrometry to be naturally presented by HLA molecules on primary humanacute myeloid leukemia, breast cancer, cholangiocellular carcinoma,chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancersamples.

Many of the source gene/proteins (also designated “full-length proteins”or “underlying proteins”) from which the peptides are derived were shownto be highly over-expressed in cancer compared with normaltissues—“normal tissues” in relation to this invention shall mean eitherhealthy blood cells, blood vessels, brain, heart, liver, lung, adiposetissue, adrenal gland, bile duct, bladder, bone marrow, esophagus, eye,gallbladder, head & neck, large intestine, small intestine, kidney,lymph node, peripheral nerve, pancreas, parathyroid gland, peritoneum,pituitary, pleura, skeletal muscle, skin, spinal cord, spleen, stomach,thyroid, trachea, ureter cells or other normal tissue cells,demonstrating a high degree of tumor association of the source genes(see Example 2). Moreover, the peptides themselves are stronglyover-presented on tumor tissue—“tumor tissue” in relation to thisinvention shall mean a sample from a patient suffering from acutemyeloid leukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer,but not on normal tissues (see Example 1).

HLA-bound peptides can be recognized by the immune system, specificallyT lymphocytes. T cells can destroy the cells presenting the recognizedHLA/peptide complex, e.g. acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer cells presenting the derived peptides.

The peptides of the present invention have been shown to be capable ofstimulating T cell responses and/or are over-presented and thus can beused for the production of antibodies and/or TCRs, such as soluble TCRs,according to the present invention (see Example 3, Example 4).Furthermore, the peptides when complexed with the respective MHC can beused for the production of antibodies and/or TCRs, in particular sTCRs,according to the present invention, as well. Respective methods are wellknown to the person of skill and can be found in the respectiveliterature as well (see also below). Thus, the peptides of the presentinvention are useful for generating an immune response in a patient bywhich tumor cells can be destroyed. An immune response in a patient canbe induced by direct administration of the described peptides orsuitable precursor substances (e.g. elongated peptides, proteins, ornucleic acids encoding these peptides) to the patient, ideally incombination with an agent enhancing the immunogenicity (i.e. anadjuvant). The immune response originating from such a therapeuticvaccination can be expected to be highly specific against tumor cellsbecause the target peptides of the present invention are not presentedon normal tissues in comparable copy numbers, preventing the risk ofundesired autoimmune reactions against normal cells in the patient.

The present description further relates to T-cell receptors (TCRs)comprising an alpha chain and a beta chain (“alpha/beta TCRs”). Alsoprovided are peptides according to the invention capable of binding toTCRs and antibodies when presented by an MHC molecule.

The present description also relates to fragments of the TCRs accordingto the invention that are capable of binding to a peptide antigenaccording to the present invention when presented by an HLA molecule.The term particularly relates to soluble TCR fragments, for example TCRsmissing the transmembrane parts and/or constant regions, single chainTCRs, and fusions thereof to, for example, with Ig.

The present description also relates to nucleic acids, vectors and hostcells for expressing TCRs and peptides of the present description; andmethods of using the same.

The term “T-cell receptor” (abbreviated TCR) refers to a heterodimericmolecule comprising an alpha polypeptide chain (alpha chain) and a betapolypeptide chain (beta chain), wherein the heterodimeric receptor iscapable of binding to a peptide antigen presented by an HLA molecule.The term also includes so-called gamma/delta TCRs.

In one embodiment the description provides a method of producing a TCRas described herein, the method comprising culturing a host cell capableof expressing the TCR under conditions suitable to promote expression ofthe TCR.

The description in another aspect relates to methods according to thedescription, wherein the antigen is loaded onto class I or II MHCmolecules expressed on the surface of a suitable antigen-presenting cellor artificial antigen-presenting cell by contacting a sufficient amountof the antigen with an antigen-presenting cell or the antigen is loadedonto class I or II MHC tetramers by tetramerizing the antigen/class I orII MHC complex monomers.

The alpha and beta chains of alpha/beta TCR's, and the gamma and deltachains of gamma/delta TCRs, are generally regarded as each having two“domains”, namely variable and constant domains. The variable domainconsists of a concatenation of variable region (V) and joining region(J). The variable domain may also include a leader region (L). Beta anddelta chains may also include a diversity region (D). The alpha and betaconstant domains may also include C-terminal transmembrane (TM) domainsthat anchor the alpha and beta chains to the cell membrane.

With respect to gamma/delta TCRs, the term “TCR gamma variable domain”as used herein refers to the concatenation of the TCR gamma V (TRGV)region without leader region (L), and the TCR gamma J (TRGJ) region, andthe term TCR gamma constant domain refers to the extracellular TRGCregion, or to a C-terminal truncated TRGC sequence. Likewise, the term“TCR delta variable domain” refers to the concatenation of the TCR deltaV (TRDV) region without leader region (L) and the TCR delta D/J(TRDD/TRDJ) region, and the term “TCR delta constant domain” refers tothe extracellular TRDC region, or to a C-terminal truncated TRDCsequence.

TCRs of the present description preferably bind to a peptide-HLAmolecule complex with a binding affinity (KD) of about 100 μM or less,about 50 μM or less, about 25 μM or less, or about 10 μM or less. Morepreferred are high affinity TCRs having binding affinities of about 1 μMor less, about 100 nM or less, about 50 nM or less, about 25 nM or less.Non-limiting examples of preferred binding affinity ranges for TCRs ofthe present invention include about 1 nM to about 10 nM; about 10 nM toabout 20 nM; about 20 nM to about 30 nM; about 30 nM to about 40 nM;about 40 nM to about 50 nM; about 50 nM to about 60 nM; about 60 nM toabout 70 nM; about 70 nM to about 80 nM; about 80 nM to about 90 nM; andabout 90 nM to about 100 nM.

As used herein in connect with TCRs of the present description,“specific binding” and grammatical variants thereof are used to mean aTCR having a binding affinity (KD) for a peptide-HLA molecule complex of100 μM or less.

Alpha/beta heterodimeric TCRs of the present description may have anintroduced disulfide bond between their constant domains. Preferred TCRsof this type include those which have a TRAC constant domain sequenceand a TRBC1 or TRBC2 constant domain sequence except that Thr 48 of TRACand Ser 57 of TRBC1 or TRBC2 are replaced by cysteine residues, the saidcysteines forming a disulfide bond between the TRAC constant domainsequence and the TRBC1 or TRBC2 constant domain sequence of the TCR.

With or without the introduced inter-chain bond mentioned above,alpha/beta hetero-dimeric TCRs of the present description may have aTRAC constant domain sequence and a TRBC1 or TRBC2 constant domainsequence, and the TRAC constant domain sequence and the TRBC1 or TRBC2constant domain sequence of the TCR may be linked by the nativedisulfide bond between Cys4 of exon 2 of TRAC and Cys2 of exon 2 ofTRBC1 or TRBC2.

TCRs of the present description may comprise a detectable label selectedfrom the group consisting of a radionuclide, a fluorophore and biotin.TCRs of the present description may be conjugated to a therapeuticallyactive agent, such as a radionuclide, a chemotherapeutic agent, or atoxin.

In an embodiment, a TCR of the present description having at least onemutation in the alpha chain and/or having at least one mutation in thebeta chain has modified glycosylation compared to the unmutated TCR.

In an embodiment, a TCR comprising at least one mutation in the TCRalpha chain and/or TCR beta chain has a binding affinity for, and/or abinding half-life for, a peptide-HLA molecule complex, which is at leastdouble that of a TCR comprising the unmutated TCR alpha chain and/orunmutated TCR beta chain. Affinity-enhancement of tumor-specific TCRs,and its exploitation, relies on the existence of a window for optimalTCR affinities. The existence of such a window is based on observationsthat TCRs specific for HLA-B44-restricted pathogens have KD values thatare generally about 10-fold lower when compared to TCRs specific forHLA-B44-restricted tumor-associated self-antigens. It is now known,although tumor antigens have the potential to be immunogenic, becausetumors arise from the individual's own cells only mutated proteins orproteins with altered translational processing will be seen as foreignby the immune system. Antigens that are upregulated or overexpressed (socalled self-antigens) will not necessarily induce a functional immuneresponse against the tumor: T-cells expressing TCRs that are highlyreactive to these antigens will have been negatively selected within thethymus in a process known as central tolerance, meaning that onlyT-cells with low-affinity TCRs for self-antigens remain. Therefore,affinity of TCRs or variants of the present description to peptides canbe enhanced by methods well known in the art.

The present description further relates to a method of identifying andisolating a TCR according to the present description, said methodcomprising incubating PBMCs from HLA-A*44-negative healthy donors withA2/peptide monomers, incubating the PBMCs with tetramer-phycoerythrin(PE) and isolating the high avidity T-cells by fluorescence activatedcell sorting (FACS)-Calibur analysis.

The present description further relates to a method of identifying andisolating a TCR according to the present description, said methodcomprising obtaining a transgenic mouse with the entire human TCRαβ geneloci (1.1 and 0.7 Mb), whose T-cells express a diverse human TCRrepertoire that compensates for mouse TCR deficiency, immunizing themouse with a peptide, incubating PBMCs obtained from the transgenic micewith tetramer-phycoerythrin (PE), and isolating the high avidity T-cellsby fluorescence activated cell sorting (FACS)-Calibur analysis.

In one aspect, to obtain T-cells expressing TCRs of the presentdescription, nucleic acids encoding TCR-alpha and/or TCR-beta chains ofthe present description are cloned into expression vectors, such asgamma retrovirus or lentivirus. The recombinant viruses are generatedand then tested for functionality, such as antigen specificity andfunctional avidity. An aliquot of the final product is then used totransduce the target T-cell population (generally purified from patientPBMCs), which is expanded before infusion into the patient. In anotheraspect, to obtain T-cells expressing TCRs of the present description,TCR RNAs are synthesized by techniques known in the art, e.g., in vitrotranscription systems. The in vitro-synthesized TCR RNAs are thenintroduced into primary CD8+ T-cells obtained from healthy donors byelectroporation to re-express tumor specific TCR-alpha and/or TCR-betachains.

To increase the expression, nucleic acids encoding TCRs of the presentdescription may be operably linked to strong promoters, such asretroviral long terminal repeats (LTRs), cytomegalovirus (CMV), murinestem cell virus (MSCV) U3, phosphoglycerate kinase (PGK), β-actin,ubiquitin, and a simian virus 40 (SV40)/CD43 composite promoter,elongation factor (EF)-1a and the spleen focus-forming virus (SFFV)promoter. In a preferred embodiment, the promoter is heterologous to thenucleic acid being expressed.

In addition to strong promoters, TCR expression cassettes of the presentdescription may contain additional elements that can enhance transgeneexpression, including a central polypurine tract (cPPT), which promotesthe nuclear translocation of lentiviral constructs(Follenzi et al.,2000), and the woodchuck hepatitis virus posttranscriptional regulatoryelement (wPRE), which increases the level of transgene expression byincreasing RNA stability (Zufferey et al., 1999).

The alpha and beta chains of a TCR of the present invention may beencoded by nucleic acids located in separate vectors or may be encodedby polynucleotides located in the same vector.

Achieving high-level TCR surface expression requires that both theTCR-alpha and TCR-beta chains of the introduced TCR be transcribed athigh levels. To do so, the TCR-alpha and TCR-beta chains of the presentdescription may be cloned into bi-cistronic constructs in a singlevector, which has been shown to be capable of over-coming this obstacle.The use of a viral intraribosomal entry site (IRES) between theTCR-alpha and TCR-beta chains results in the coordinated expression ofboth chains, because the TCR-alpha and TCR-beta chains are generatedfrom a single transcript that is broken into two proteins duringtranslation, ensuring that an equal molar ratio of TCR-alpha andTCR-beta chains are produced (Schmitt et al., 2009).

Nucleic acids encoding TCRs of the present description may be codonoptimized to increase expression from a host cell. Redundancy in thegenetic code allows some amino acids to be encoded by more than onecodon, but certain codons are less “optimal” than others because of therelative availability of matching tRNAs as well as other factors(Gustafsson et al., 2004). Modifying the TCR-alpha and TCR-beta genesequences such that each amino acid is encoded by the optimal codon formammalian gene expression, as well as eliminating mRNA instabilitymotifs or cryptic splice sites, has been shown to significantly enhanceTCR-alpha and TCR-beta gene expression (Scholten et al., 2006).

Furthermore, mispairing between the introduced and endogenous TCR chainsmay result in the acquisition of specificities that pose a significantrisk for autoimmunity. For example, the formation of mixed TCR dimersmay reduce the number of CD3 molecules available to form properly pairedTCR complexes, and therefore can significantly decrease the functionalavidity of the cells expressing the introduced TCR (Kuball et al.,2007).

To reduce mispairing, the C-terminus domain of the introduced TCR chainsof the present description may be modified in order to promoteinterchain affinity, while de-creasing the ability of the introducedchains to pair with the endogenous TCR. These strategies may includereplacing the human TCR-alpha and TCR-beta C-terminus domains with theirmurine counterparts (murinized C-terminus domain); generating a secondinterchain disulfide bond in the C-terminus domain by introducing asecond cysteine residue into both the TCR-alpha and TCR-beta chains ofthe introduced TCR (cysteine modification); swapping interactingresidues in the TCR-alpha and TCR-beta chain C-terminus domains(“knob-in-hole”); and fusing the variable domains of the TCR-alpha andTCR-beta chains directly to CDξ ((CDξ (fusion) (Schmitt et al., 2009).

In an embodiment, a host cell is engineered to express a TCR of thepresent description. In preferred embodiments, the host cell is a humanT-cell or T-cell progenitor. In some embodiments the T-cell or T-cellprogenitor is obtained from a cancer patient. In other embodiments theT-cell or T-cell progenitor is obtained from a healthy donor. Host cellsof the present description can be allogeneic or autologous with respectto a patient to be treated. In one embodiment, the host is a gamma/deltaT-cell transformed to express an alpha/beta TCR.

A “pharmaceutical composition” is a composition suitable foradministration to a human being in a medical setting. Preferably, apharmaceutical composition is sterile and produced according to GMPguidelines.

The pharmaceutical compositions comprise the peptides either in the freeform or in the form of a pharmaceutically acceptable salt (see alsoabove). As used herein, “a pharmaceutically acceptable salt” refers to aderivative of the disclosed peptides wherein the peptide is modified bymaking acid or base salts of the agent. For example, acid salts areprepared from the free base (typically wherein the neutral form of thedrug has a neutral —NH2 group) involving reaction with a suitable acid.Suitable acids for preparing acid salts include both organic acids,e.g., acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalicacid, malic acid, malonic acid, succinic acid, maleic acid, fumaricacid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelicacid, methane sulfonic acid, ethane sulfonic acid, p-toluenesulfonicacid, salicylic acid, and the like, as well as inorganic acids, e.g.,hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acidphosphoric acid and the like. Conversely, preparation of basic salts ofacid moieties which may be present on a peptide are prepared using apharmaceutically acceptable base such as sodium hydroxide, potassiumhydroxide, ammonium hydroxide, calcium hydroxide, trimethylamine or thelike.

In an especially preferred embodiment, the pharmaceutical compositionscomprise the peptides as salts of acetic acid (acetates), trifluoroacetates or hydrochloric acid (chlorides).

Preferably, the medicament of the present invention is animmunotherapeutic such as a vaccine. It may be administered directlyinto the patient, into the affected organ or systemically i.d., i.m.,s.c., i.p. and i.v., or applied ex vivo to cells derived from thepatient or a human cell line which are subsequently administered to thepatient or used in vitro to select a subpopulation of immune cellsderived from the patient, which are then re-administered to the patient.If the nucleic acid is administered to cells in vitro, it may be usefulfor the cells to be transfected so as to co-express immune-stimulatingcytokines, such as interleukin-2. The peptide may be substantially pureor combined with an immune-stimulating adjuvant (see below) or used incombination with immune-stimulatory cytokines, or be administered with asuitable delivery system, for example liposomes. The peptide may also beconjugated to a suitable carrier such as keyhole limpet haemocyanin(KLH) or mannan (see WO 95/18145 and (Longenecker et al., 1993)). Thepeptide may also be tagged, may be a fusion protein, or may be a hybridmolecule. The peptides whose sequence is given in the present inventionare expected to stimulate CD4 or CD8 T cells. However, stimulation ofCD8 T cells is more efficient in the presence of help provided by CD4T-helper cells. Thus, for MHC Class I epitopes that stimulate CD8 Tcells the fusion partner or sections of a hybrid molecule suitablyprovide epitopes which stimulate CD4-positive T cells. CD4- andCD8-stimulating epitopes are well known in the art and include thoseidentified in the present invention.

In one aspect, the vaccine comprises at least one peptide having theamino acid sequence set forth SEQ ID No. 1 to SEQ ID No. 518, and atleast one additional peptide, preferably two to 50, more preferably twoto 25, even more preferably two to 20 and most preferably two, three,four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen,fourteen, fifteen, sixteen, seventeen or eighteen peptides. Thepeptide(s) may be derived from one or more specific TAAs and may bind toMHC class I molecules.

A further aspect of the invention provides a nucleic acid (for example apolynucleotide) encoding a peptide or peptide variant of the invention.The polynucleotide may be, for example, DNA, cDNA, PNA, RNA orcombinations thereof, either single- and/or double-stranded, or nativeor stabilized forms of polynucleotides, such as, for example,polynucleotides with a phosphorothioate backbone and it may or may notcontain introns so long as it codes for the peptide. Of course, onlypeptides that contain naturally occurring amino acid residues joined bynaturally occurring peptide bonds are encodable by a polynucleotide. Astill further aspect of the invention provides an expression vectorcapable of expressing a polypeptide according to the invention.

A variety of methods have been developed to link polynucleotides,especially DNA, to vectors for example via complementary cohesivetermini. For instance, complementary homopolymer tracts can be added tothe DNA segment to be inserted to the vector DNA. The vector and DNAsegment are then joined by hydrogen bonding between the complementaryhomopolymeric tails to form recombinant DNA molecules.

Synthetic linkers containing one or more restriction sites provide analternative method of joining the DNA segment to vectors. Syntheticlinkers containing a variety of restriction endonuclease sites arecommercially available from a number of sources including InternationalBiotechnologies Inc. New Haven, Conn., USA.

A desirable method of modifying the DNA encoding the polypeptide of theinvention employs the polymerase chain reaction as disclosed by Saiki RK, et al. (Saiki et al., 1988). This method may be used for introducingthe DNA into a suitable vector, for example by engineering in suitablerestriction sites, or it may be used to modify the DNA in other usefulways as is known in the art. If viral vectors are used, pox- oradenovirus vectors are preferred.

The DNA (or in the case of retroviral vectors, RNA) may then beexpressed in a suitable host to produce a polypeptide comprising thepeptide or variant of the invention. Thus, the DNA encoding the peptideor variant of the invention may be used in accordance with knowntechniques, appropriately modified in view of the teachings containedherein, to construct an expression vector, which is then used totransform an appropriate host cell for the expression and production ofthe polypeptide of the invention. Such techniques include thosedisclosed, for example, in U.S. Pat. Nos. 4,440,859, 4,530,901,4,582,800, 4,677,063, 4,678,751, 4,704,362, 4,710,463, 4,757,006,4,766,075, and 4,810,648.

The DNA (or in the case of retroviral vectors, RNA) encoding thepolypeptide constituting the compound of the invention may be joined toa wide variety of other DNA sequences for introduction into anappropriate host. The companion DNA will depend upon the nature of thehost, the manner of the introduction of the DNA into the host, andwhether episomal maintenance or integration is desired.

Generally, the DNA is inserted into an expression vector, such as aplasmid, in proper orientation and correct reading frame for expression.If necessary, the DNA may be linked to the appropriate transcriptionaland translational regulatory control nucleotide sequences recognized bythe desired host, although such controls are generally available in theexpression vector. The vector is then introduced into the host throughstandard techniques. Generally, not all of the hosts will be transformedby the vector. Therefore, it will be necessary to select for transformedhost cells. One selection technique involves incorporating into theexpression vector a DNA sequence, with any necessary control elements,that codes for a selectable trait in the transformed cell, such asantibiotic resistance.

Alternatively, the gene for such selectable trait can be on anothervector, which is used to co-transform the desired host cell.

Host cells that have been transformed by the recombinant DNA of theinvention are then cultured for a sufficient time and under appropriateconditions known to those skilled in the art in view of the teachingsdisclosed herein to permit the expression of the polypeptide, which canthen be recovered.

Many expression systems are known, including bacteria (for example E.coli and Bacillus subtilis), yeasts (for example Saccharomycescerevisiae), filamentous fungi (for example Aspergillus spec.), plantcells, animal cells and insect cells. Preferably, the system can bemammalian cells such as CHO cells available from the ATCC Cell BiologyCollection.

A typical mammalian cell vector plasmid for constitutive expressioncomprises the CMV or SV40 promoter with a suitable poly A tail and aresistance marker, such as neomycin. One example is pSVL available fromPharmacia, Piscataway, N.J., USA. An example of an inducible mammalianexpression vector is pMSG, also available from Pharmacia. Useful yeastplasmid vectors are pRS403-406 and pRS413-416 and are generallyavailable from Stratagene Cloning Systems, La Jolla, Calif. 92037, USA.Plasmids pRS403, pRS404, pRS405 and pRS406 are Yeast Integratingplasmids (YIps) and incorporate the yeast selectable markers HIS3, TRP1,LEU2 and URA3. Plasmids pRS413-416 are Yeast Centromere plasmids (Ycps).CMV promoter-based vectors (for example from Sigma-Aldrich) providetransient or stable expression, cytoplasmic expression or secretion, andN-terminal or C-terminal tagging in various combinations of FLAG,3×FLAG, c-myc or MAT. These fusion proteins allow for detection,purification and analysis of recombinant protein. Dual-tagged fusionsprovide flexibility in detection.

The strong human cytomegalovirus (CMV) promoter regulatory region drivesconstitutive protein expression levels as high as 1 mg/L in COS cells.For less potent cell lines, protein levels are typically −0.1 mg/L. Thepresence of the SV40 replication origin will result in high levels ofDNA replication in SV40 replication permissive COS cells. CMV vectors,for example, can contain the pMB1 (derivative of pBR322) origin forreplication in bacterial cells, the b-lactamase gene for ampicillinresistance selection in bacteria, hGH polyA, and the fI origin. Vectorscontaining the pre-pro-trypsin leader (PPT) sequence can direct thesecretion of FLAG fusion proteins into the culture medium forpurification using ANTI-FLAG antibodies, resins, and plates. Othervectors and expression systems are well known in the art for use with avariety of host cells.

In another embodiment two or more peptides or peptide variants of theinvention are encoded and thus expressed in a successive order (similarto “beads on a string” constructs). In doing so, the peptides or peptidevariants may be linked or fused together by stretches of linker aminoacids, such as for example LLLLLL (SEQ ID NO. 521), or may be linkedwithout any additional peptide(s) between them. These constructs canalso be used for cancer therapy and may induce immune responses bothinvolving MHC I and MHC II.

The present invention also relates to a host cell transformed with apolynucleotide vector construct of the present invention. The host cellcan be either prokaryotic or eukaryotic. Bacterial cells may bepreferred prokaryotic host cells in some circumstances and typically area strain of E. coli such as, for example, the E. coli strains DH5available from Bethesda Research Laboratories Inc., Bethesda, Md., USA,and RR1 available from the American Type Culture Collection (ATCC) ofRockville, Md., USA (No ATCC 31343). Preferred eukaryotic host cellsinclude yeast, insect and mammalian cells, preferably vertebrate cellssuch as those from a mouse, rat, monkey or human fibroblastic and coloncell lines. Yeast host cells include YPH499, YPH500 and YPH501, whichare generally available from Stratagene Cloning Systems, La Jolla,Calif. 92037, USA. Preferred mammalian host cells include Chinesehamster ovary (CHO) cells available from the ATCC as CCL61, NIH Swissmouse embryo cells NIH/3T3 available from the ATCC as CRL 1658, monkeykidney-derived COS-1 cells available from the ATCC as CRL 1650 and 293cells which are human embryonic kidney cells. Preferred insect cells areSf9 cells which can be transfected with baculovirus expression vectors.An overview regarding the choice of suitable host cells for expressioncan be found in, for example, the textbook of Paulina Balbás and ArgeliaLorence “Methods in Molecular Biology Recombinant Gene Expression,Reviews and Protocols,” Part One, Second Edition, ISBN978-1-58829-262-9, and other literature known to the person of skill.

Transformation of appropriate cell hosts with a DNA construct of thepresent invention is accomplished by well-known methods that typicallydepend on the type of vector used. With regard to transformation ofprokaryotic host cells, see, for example, Cohen et al. (Cohen et al.,1972) and (Green and Sambrook, 2012). Transformation of yeast cells isdescribed in Sherman et al. (Sherman et al., 1986). The method of Beggs(Beggs, 1978) is also useful. With regard to vertebrate cells, reagentsuseful in transfecting such cells, for example calcium phosphate andDEAE-dextran or liposome formulations, are available from StratageneCloning Systems, or Life Technologies Inc., Gaithersburg, Md. 20877,USA. Electroporation is also useful for transforming and/or transfectingcells and is well known in the art for transforming yeast cell,bacterial cells, insect cells and vertebrate cells.

Successfully transformed cells, i.e. cells that contain a DNA constructof the present invention, can be identified by well-known techniquessuch as PCR. Alternatively, the presence of the protein in thesupernatant can be detected using antibodies.

It will be appreciated that certain host cells of the invention areuseful in the preparation of the peptides of the invention, for examplebacterial, yeast and insect cells. However, other host cells may beuseful in certain therapeutic methods. For example, antigen-presentingcells, such as dendritic cells, may usefully be used to express thepeptides of the invention such that they may be loaded into appropriateMHC molecules. Thus, the current invention provides a host cellcomprising a nucleic acid or an expression vector according to theinvention.

In a preferred embodiment the host cell is an antigen presenting cell,in particular a dendritic cell or antigen presenting cell. APCs loadedwith a recombinant fusion protein containing prostatic acid phosphatase(PAP) were approved by the U.S. Food and Drug Administration (FDA) onApr. 29, 2010, to treat asymptomatic or minimally symptomatic metastaticHRPC (Sipuleucel-T) (Rini et al., 2006; Small et al., 2006).

A further aspect of the invention provides a method of producing apeptide or its variant, the method comprising culturing a host cell andisolating the peptide from the host cell or its culture medium.

In another embodiment, the peptide, the nucleic acid or the expressionvector of the invention are used in medicine. For example, the peptideor its variant may be prepared for intravenous (i.v.) injection,sub-cutaneous (s.c.) injection, intradermal (i.d.) injection,intraperitoneal (i.p.) injection, intramuscular (i.m.) injection.Preferred methods of peptide injection include s.c., i.d., i.p., i.m.,and i.v. Preferred methods of DNA injection include i.d., i.m., s.c.,i.p. and i.v. Doses of e.g. between 50 μg and 1.5 mg, preferably 125 μgto 500 μg, of peptide or DNA may be given and will depend on therespective peptide or DNA. Dosages of this range were successfully usedin previous trials (Walter et al., 2012).

The polynucleotide used for active vaccination may be substantially pureor contained in a suitable vector or delivery system. The nucleic acidmay be DNA, cDNA, PNA, RNA or a combination thereof. Methods fordesigning and introducing such a nucleic acid are well known in the art.An overview is provided by e.g. Teufel et al. (Teufel et al., 2005).Polynucleotide vaccines are easy to prepare, but the mode of action ofthese vectors in inducing an immune response is not fully understood.Suitable vectors and delivery systems include viral DNA and/or RNA, suchas systems based on adenovirus, vaccinia virus, retroviruses, herpesvirus, adeno-associated virus or hybrids containing elements of morethan one virus. Non-viral delivery systems include cationic lipids andcationic polymers and are well known in the art of DNA delivery.Physical delivery, such as via a “gene-gun” may also be used. Thepeptide or peptides encoded by the nucleic acid may be a fusion protein,for example with an epitope that stimulates T cells for the respectiveopposite CDR as noted above.

The medicament of the invention may also include one or more adjuvants.Adjuvants are substances that non-specifically enhance or potentiate theimmune response (e.g., immune responses mediated by CD8-positive T cellsand helper-T (TH) cells to an antigen and would thus be considereduseful in the medicament of the present invention. Suitable adjuvantsinclude, but are not limited to, 1018 ISS, aluminum salts, AMPLIVAX@,AS15, BCG, CP-870,893, CpG7909, CyaA, dSLIM, flagellin or TLR5 ligandsderived from flagellin, FLT3 ligand, GM-CSF, IC30, IC31, Imiquimod(ALDARA®), resiquimod, ImuFact IMP321, Interleukins as IL-2, IL-13,IL-21, Interferon-alpha or -beta, or pegylated derivatives thereof, ISPatch, ISS, ISCOMATRIX, ISCOMs, JuvImmune®, LipoVac, MALP2, MF59,monophosphoryl lipid A, Montanide IMS 1312, Montanide ISA 206, MontanideISA 50V, Montanide ISA-51, water-in-oil and oil-in-water emulsions,OK-432, OM-174, OM-197-MP-EC, ONTAK, OspA, PepTel® vector system,poly(lactid co-glycolid) [PLG]-based and dextran microparticles,talactoferrin SRL172, Virosomes and other Virus-like particles, YF-17D,VEGF trap, R848, beta-glucan, Pam3Cys, Aquila's QS21 stimulon, which isderived from saponin, mycobacterial extracts and synthetic bacterialcell wall mimics, and other proprietary adjuvants such as Ribi's Detox,Quil, or Superfos. Adjuvants such as Freund's or GM-CSF are preferred.Several immunological adjuvants (e.g., MF59) specific for dendriticcells and their preparation have been described previously (Allison andKrummel, 1995). Also, cytokines may be used. Several cytokines have beendirectly linked to influencing dendritic cell migration to lymphoidtissues (e.g., TNF-), accelerating the maturation of dendritic cellsinto efficient antigen-presenting cells for T-lymphocytes (e.g., GM-CSF,IL-1 and IL-4) (U.S. Pat. No. 5,849,589, specifically incorporatedherein by reference in its entirety) and acting as immunoadjuvants(e.g., IL-12, IL-15, IL-23, IL-7, IFN-alpha. IFN-beta) (Gabrilovich etal., 1996).

CpG immunostimulatory oligonucleotides have also been reported toenhance the effects of adjuvants in a vaccine setting. Without beingbound by theory, CpG oligonucleotides act by activating the innate(non-adaptive) immune system via Toll-like receptors (TLR), mainly TLR9.CpG triggered TLR9 activation enhances antigen-specific humoral andcellular responses to a wide variety of antigens, including peptide orprotein antigens, live or killed viruses, dendritic cell vaccines,autologous cellular vaccines and polysaccharide conjugates in bothprophylactic and therapeutic vaccines. More importantly it enhancesdendritic cell maturation and differentiation, resulting in enhancedactivation of TH1 cells and strong cytotoxic T-lymphocyte (CTL)generation, even in the absence of CD4 T cell help. The TH1 bias inducedby TLR9 stimulation is maintained even in the presence of vaccineadjuvants such as alum or incomplete Freund's adjuvant (IFA) thatnormally promote a TH2 bias. CpG oligonucleotides show even greateradjuvant activity when formulated or co-administered with otheradjuvants or in formulations such as microparticles, nanoparticles,lipid emulsions or similar formulations, which are especially necessaryfor inducing a strong response when the antigen is relatively weak. Theyalso accelerate the immune response and enable the antigen doses to bereduced by approximately two orders of magnitude, with comparableantibody responses to the full-dose vaccine without CpG in someexperiments (Krieg, 2006). U.S. Pat. No. 6,406,705 B1 describes thecombined use of CpG oligonucleotides, non-nucleic acid adjuvants and anantigen to induce an antigen-specific immune response. A CpG TLR9antagonist is dSLIM (double Stem Loop Immunomodulator) by Mologen(Berlin, Germany) which is a preferred component of the pharmaceuticalcomposition of the present invention. Other TLR binding molecules suchas RNA binding TLR 7, TLR 8 and/or TLR 9 may also be used.

Other examples for useful adjuvants include, but are not limited tochemically modified CpGs (e.g. CpR, Idera), dsRNA analogues such asPoly(I:C) and derivates thereof (e.g. AmpliGen®, Hiltonol®, poly-(ICLC),poly(IC-R), poly(I:C12U), non-CpG bacterial DNA or RNA as well asimmunoactive small molecules and antibodies such as cyclophosphamide,sunitinib, immune checkpoint inhibitors including ipilimumab, nivolumab,pembrolizumab, atezolizumab, avelumab, durvalumab, and cemiplimab,Bevacizumab®, celebrex, NCX-4016, sildenafil, tadalafil, vardenafil,sorafenib, temozolomide, temsirolimus, XL-999, CP-547632, pazopanib,VEGF Trap, ZD2171, AZD2171, anti-CTLA4, other antibodies targeting keystructures of the immune system (e.g. anti-CD40, anti-TGFbeta,anti-TNFalpha receptor) and SC58175, which may act therapeuticallyand/or as an adjuvant. The amounts and concentrations of adjuvants andadditives useful in the context of the present invention can readily bedetermined by the skilled artisan without undue experimentation.

Preferred adjuvants are anti-CD40, imiquimod, resiquimod, GM-CSF,cyclophosphamide, sunitinib, bevacizumab, interferon-alpha,interferon-beta, CpG oligonucleotides and derivatives, poly-(I:C) andderivatives, RNA, sildenafil, particulate formulations with poly(lactideco-glycolide) (PLG), virosomes, atezolizumab, interleukin (IL)-1, IL-2,IL-4, IL-7, IL-12, IL-13, IL-15, IL-21, and IL-23.

In a preferred embodiment, the pharmaceutical composition according tothe invention the adjuvant is selected from the group consisting ofcolony-stimulating factors, such as Granulocyte Macrophage ColonyStimulating Factor (GM-CSF, sargramostim), cyclophosphamide, imiquimod,resiquimod, and interferon-alpha.

In a preferred embodiment, the pharmaceutical composition according tothe invention the adjuvant is selected from the group consisting ofcolony-stimulating factors, such as Granulocyte Macrophage ColonyStimulating Factor (GM-CSF, sargramostim), cyclophosphamide, imiquimodand resiquimod. In a preferred embodiment of the pharmaceuticalcomposition according to the invention, the adjuvant iscyclophosphamide, imiquimod or resiquimod. Even more preferred adjuvantsare Montanide IMS 1312, Montanide ISA 206, Montanide ISA 50V, MontanideISA-51, poly-ICLC (Hiltonol®) and anti-CD40 mAB, or combinationsthereof.

This composition is used for parenteral administration, such assubcutaneous, intradermal, intramuscular or oral administration. Forthis, the peptides and optionally other molecules are dissolved orsuspended in a pharmaceutically acceptable, preferably aqueous carrier.In addition, the composition can contain excipients, such as buffers,binding agents, blasting agents, diluents, flavors, lubricants, etc. Thepeptides can also be administered together with immune stimulatingsubstances, such as cytokines. An extensive listing of excipients thatcan be used in such a composition, can be, for example, taken from A.Kibbe, Handbook of Pharmaceutical Excipients (Kibbe, 2000). Thecomposition can be used for a prevention, prophylaxis and/or therapy ofadenomatous or cancerous diseases. Exemplary formulations can be foundin, for example, EP2112253.

It is important to realize that the immune response triggered by thevaccine according to the invention attacks the cancer in differentcell-stages and different stages of development. Furthermore, differentcancer associated signaling pathways are attacked. This is an advantageover vaccines that address only one or few targets, which may cause thetumor to easily adapt to the attack (tumor escape). Furthermore, not allindividual tumors express the same pattern of antigens. Therefore, acombination of several tumor-associated peptides ensures that everysingle tumor bears at least some of the targets. The composition isdesigned in such a way that each tumor is expected to express several ofthe antigens and cover several independent pathways necessary for tumorgrowth and maintenance. Thus, the vaccine can easily be used“off-the-shelf” for a larger patient population. This means that apre-selection of patients to be treated with the vaccine can berestricted to HLA typing, does not require any additional biomarkerassessments for antigen expression, but it is still ensured that severaltargets are simultaneously attacked by the induced immune response,which is important for efficacy (Banchereau et al., 2001; Walter et al.,2012).

As used herein, the term “scaffold” refers to a molecule thatspecifically binds to an (e.g. antigenic) determinant. In oneembodiment, a scaffold is able to direct the entity to which it isattached (e.g. a (second) antigen binding moiety) to a target site, forexample to a specific type of tumor cell or tumor stroma bearing theantigenic determinant (e.g. the complex of a peptide with MHC, accordingto the application at hand). In another embodiment a scaffold is able toactivate signaling through its target antigen, for example a T cellreceptor complex antigen. Scaffolds include but are not limited toantibodies and fragments thereof, antigen binding domains of anantibody, comprising an antibody heavy chain variable region and anantibody light chain variable region, binding proteins comprising atleast one ankyrin repeat motif and single domain antigen binding (SDAB)molecules, aptamers, (soluble) TCRs and (modified) cells such asallogenic or autologous T cells. To assess whether a molecule is ascaffold binding to a target, binding assays can be performed.

“Specific” binding means that the scaffold binds the peptide-MHC-complexof interest better than other naturally occurring peptide-MHC-complexes,to an extent that a scaffold armed with an active molecule that is ableto kill a cell bearing the specific target is not able to kill anothercell without the specific target but presenting other peptide-MHCcomplex(es). Binding to other peptide-MHC complexes is irrelevant if thepeptide of the cross-reactive peptide-MHC is not naturally occurring,i.e. not derived from the human HLA-peptidome. Tests to assess targetcell killing are well known in the art. They should be performed usingtarget cells (primary cells or cell lines) with unaltered peptide-MHCpresentation, or cells loaded with peptides such that naturallyoccurring peptide-MHC levels are reached.

Each scaffold can comprise a labelling which provides that the boundscaffold can be detected by determining the presence or absence of asignal provided by the label. For example, the scaffold can be labelledwith a fluorescent dye or any other applicable cellular marker molecule.Such marker molecules are well known in the art. For example, afluorescence-labelling, for example provided by a fluorescence dye, canprovide a visualization of the bound aptamer by fluorescence or laserscanning microscopy or flow cytometry.

Each scaffold can be conjugated with a second active molecule such asfor example IL-21, anti-CD3, and anti-CD28.

For further information on polypeptide scaffolds see for example thebackground section of WO 2014/071978A1 and the references cited therein.

The present invention further relates to aptamers. Aptamers (see forexample WO 2014/191359 and the literature as cited therein) are shortsingle-stranded nucleic acid molecules, which can fold into definedthree-dimensional structures and recognize specific target structures.They have appeared to be suitable alternatives for developing targetedtherapies. Aptamers have been shown to selectively bind to a variety ofcomplex targets with high affinity and specificity.

Aptamers recognizing cell surface located molecules have been identifiedwithin the past decade and provide means for developing diagnostic andtherapeutic approaches. Since aptamers have been shown to possess almostno toxicity and immunogenicity they are promising candidates forbiomedical applications. Indeed aptamers, for example prostate-specificmembrane-antigen recognizing aptamers, have been successfully employedfor targeted therapies and shown to be functional in xenograft in vivomodels. Furthermore, aptamers recognizing specific tumor cell lines havebeen identified.

DNA aptamers can be selected to reveal broad-spectrum recognitionproperties for various cancer cells, and particularly those derived fromsolid tumors, while non-tumorigenic and primary healthy cells are notrecognized. If the identified aptamers recognize not only a specifictumor sub-type but rather interact with a series of tumors, this rendersthe aptamers applicable as so-called broad-spectrum diagnostics andtherapeutics.

Further, investigation of cell-binding behavior with flow cytometryshowed that the aptamers revealed very good apparent affinities that arewithin the nanomolar range.

Aptamers are useful for diagnostic and therapeutic purposes. Further, itcould be shown that some of the aptamers are taken up by tumor cells andthus can function as molecular vehicles for the targeted delivery ofanti-cancer agents such as siRNA into tumor cells.

Aptamers can be selected against complex targets such as cells andtissues and complexes of the peptides comprising, preferably consistingof, a sequence according to any of SEQ ID NO 1 to SEQ ID NO 518,according to the invention at hand with the MHC molecule, using thecell-SELEX (Systematic Evolution of Ligands by Exponential enrichment)technique.

The peptides of the present invention can be used to generate anddevelop specific antibodies against MHC/peptide complexes. These can beused for therapy, targeting toxins or radioactive substances to thediseased tissue. Another use of these antibodies can be targetingradionuclides to the diseased tissue for imaging purposes such as PET.This use can help to detect small metastases or to determine the sizeand precise localization of diseased tissues.

Therefore, it is a further aspect of the invention to provide a methodfor producing a recombinant antibody specifically binding to a humanmajor histocompatibility complex (MHC) class I or II being complexedwith a HLA-restricted antigen (preferably a peptide according to thepresent invention), the method comprising: immunizing a geneticallyengineered non-human mammal comprising cells expressing said human majorhistocompatibility complex (MHC) class I or II with a soluble form of aMHC class I or II molecule being complexed with said HLA-restrictedantigen; isolating mRNA molecules from antibody producing cells of saidnon-human mammal; producing a phage display library displaying proteinmolecules encoded by said mRNA molecules; and isolating at least onephage from said phage display library, said at least one phagedisplaying said antibody specifically binding to said human majorhistocompatibility complex (MHC) class I or II being complexed with saidHLA-restricted antigen.

It is thus a further aspect of the invention to provide an antibody thatspecifically binds to a human major histocompatibility complex (MHC)class I or II being complexed with an HLA-restricted antigen, whereinthe antibody preferably is a polyclonal antibody, monoclonal antibody,bi-specific antibody and/or a chimeric antibody.

Respective methods for producing such antibodies and single chain classI major histocompatibility complexes, as well as other tools for theproduction of these antibodies are disclosed in WO 03/068201, WO2004/084798, WO 01/72768, WO 03/070752, and in publications (Cohen etal., 2003a; Cohen et al., 2003b; Denkberg et al., 2003), which for thepurposes of the present invention are all explicitly incorporated byreference in their entireties.

Preferably, the antibody is binding with a binding affinity of below 20nanomolar, preferably of below 10 nanomolar, to the complex, which isalso regarded as “specific” in the context of the present invention.

The present invention relates to a peptide comprising a sequence that isselected from the group consisting of SEQ ID NO: 1 to SEQ ID NO: 518, ora variant thereof which is at least 88% homologous (preferablyidentical) to SEQ ID NO: 1 to SEQ ID NO: 518 or a variant thereof thatinduces T cells cross-reacting with said peptide, wherein said peptideis not the underlying full-length polypeptide.

The present invention further relates to a peptide comprising a sequencethat is selected from the group consisting of SEQ ID NO: 1 to SEQ ID NO:518 or a variant thereof which is at least 88% homologous (preferablyidentical) to SEQ ID NO: 1 to SEQ ID NO: 518, wherein said peptide orvariant has an overall length of between 8 and 100, preferably between 8and 30, and most preferred between 8 and 14 amino acids.

The present invention further relates to the peptides according to theinvention that have the ability to bind to a molecule of the human majorhistocompatibility complex (MHC) class-I or -II.

The present invention further relates to the peptides according to theinvention wherein the peptide consists or consists essentially of anamino acid sequence according to SEQ ID NO: 1 to SEQ ID NO: 518.

The present invention further relates to the peptides according to theinvention, wherein the peptide is (chemically) modified and/or includesnon-peptide bonds.

The present invention further relates to the peptides according to theinvention, wherein the peptide is part of a fusion protein, inparticular comprising N-terminal amino acids of the HLA-DRantigen-associated invariant chain (Ii), or wherein the peptide is fusedto (or into) an antibody, such as, for example, an antibody that isspecific for dendritic cells.

The present invention further relates to a nucleic acid, encoding thepeptides according to the invention, provided that the peptide is notthe complete (full) human protein.

The present invention further relates to the nucleic acid according tothe invention that is DNA, cDNA, PNA, RNA or combinations thereof.

The present invention further relates to an expression vector capable ofexpressing a nucleic acid according to the present invention.

The present invention further relates to a peptide according to thepresent invention, a nucleic acid according to the present invention oran expression vector according to the present invention for use inmedicine, in particular in the treatment of acute myeloid leukemia,breast cancer, cholangiocellular carcinoma, chronic lymphocyticleukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastriccancer, hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer.

The present invention further relates to a host cell comprising anucleic acid according to the invention or an expression vectoraccording to the invention.

The present invention further relates to the host cell according to thepresent invention that is an antigen presenting cell, and preferably adendritic cell.

The present invention further relates to a method of producing a peptideaccording to the present invention, said method comprising culturing thehost cell according to the present invention, and isolating the peptidefrom said host cell or its culture medium.

The present invention further relates to the method according to thepresent invention, where-in the antigen is loaded onto class I or II MHCmolecules expressed on the surface of a suitable antigen-presenting cellby contacting a sufficient amount of the antigen with anantigen-presenting cell.

The present invention further relates to the method according to theinvention, wherein the antigen-presenting cell comprises an expressionvector capable of expressing said peptide containing SEQ ID NO: 1 to SEQID NO: 518 or said variant amino acid sequence.

The present invention further relates to activated T cells, produced bythe method according to the present invention, wherein said T cellsselectively recognizes a cell which aberrantly expresses a polypeptidecomprising an amino acid sequence according to the present invention.

The present invention further relates to a method of killing targetcells in a patient which target cells aberrantly express a polypeptidecomprising any amino acid sequence according to the present invention,the method comprising administering to the patient an effective numberof T cells as according to the present invention.

The present invention further relates to the use of any peptidedescribed, a nucleic acid according to the present invention, anexpression vector according to the present invention, a cell accordingto the present invention, or an activated cytotoxic T lymphocyteaccording to the present invention as a medicament or in the manufactureof a medicament. The present invention further relates to a useaccording to the present invention, wherein the medicament is activeagainst cancer.

The present invention further relates to a use according to theinvention, wherein the medicament is a vaccine. The present inventionfurther relates to a use according to the invention, wherein themedicament is active against cancer.

The present invention further relates to a use according to theinvention, wherein said cancer cells are acute myeloid leukemia, breastcancer, cholangiocellular carcinoma, chronic lymphocytic leukemia,colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer,hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer cells or other solidor hematological tumor cells such as acute myeloid leukemia, breastcancer, cholangiocellular carcinoma, chronic lymphocytic leukemia,colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer,hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer.

The present invention further relates to particular marker proteins andbiomarkers based on the peptides according to the present invention,herein called “targets” that can be used in the diagnosis and/orprognosis of acute myeloid leukemia, breast cancer, cholangiocellularcarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladdercancer, glioblastoma, gastric cancer, hepatocellular carcinoma, head andneck squamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lungcancer (including non-small cell lung cancer adenocarcinoma, squamouscell non-small cell lung cancer, and small cell lung cancer), ovariancancer, esophageal cancer, pancreatic cancer, prostate cancer, renalcell carcinoma, urinary bladder carcinoma, uterine and endometrialcancer. The present invention also relates to the use of these noveltargets for cancer treatment.

The term “antibody” or “antibodies” is used herein in a broad sense andincludes both polyclonal and monoclonal antibodies. In addition tointact or “full” immunoglobulin molecules, also included in the term“antibodies” are fragments (e.g. CDRs, Fv, Fab and Fc fragments) orpolymers of those immunoglobulin molecules and humanized versions ofimmunoglobulin molecules, as long as they exhibit any of the desiredproperties (e.g., specific binding of an acute myeloid leukemia, breastcancer, cholangiocellular carcinoma, chronic lymphocytic leukemia,colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer,hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer marker (poly)peptide,delivery of a toxin to an acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer cell expressing a cancer marker gene atan increased level, and/or inhibiting the activity of an acute myeloidleukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancermarker polypeptide) according to the invention.

Whenever possible, the antibodies of the invention may be purchased fromcommercial sources. The antibodies of the invention may also begenerated using well-known methods. The skilled artisan will understandthat either full length acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer marker polypeptides or fragments thereofmay be used to generate the antibodies of the invention. A polypeptideto be used for generating an antibody of the invention may be partiallyor fully purified from a natural source or may be produced usingrecombinant DNA techniques.

For example, a cDNA encoding a peptide according to the presentinvention, such as a peptide according to SEQ ID NO: 1 to SEQ ID NO: 518polypeptide, or a variant or fragment thereof, can be expressed inprokaryotic cells (e.g., bacteria) or eukaryotic cells (e.g., yeast,insect, or mammalian cells), after which the recombinant protein can bepurified and used to generate a monoclonal or polyclonal antibodypreparation that specifically bind the acute myeloid leukemia, breastcancer, cholangiocellular carcinoma, chronic lymphocytic leukemia,colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer,hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer marker polypeptideused to generate the antibody according to the invention.

One of skill in the art will realize that the generation of two or moredifferent sets of monoclonal or polyclonal antibodies maximizes thelikelihood of obtaining an antibody with the specificity and affinityrequired for its intended use (e.g., ELISA, immunohistochemistry, invivo imaging, immunotoxin therapy). The antibodies are tested for theirdesired activity by known methods, in accordance with the purpose forwhich the antibodies are to be used (e.g., ELISA, immunohistochemistry,immunotherapy, etc.; for further guidance on the generation and testingof antibodies, see, e.g., Greenfield, 2014 (Greenfield, 2014)). Forexample, the antibodies may be tested in ELISA assays or, Western blots,immunohistochemical staining of formalin-fixed cancers or frozen tissuesections. After their initial in vitro characterization, antibodiesintended for therapeutic or in vivo diagnostic use are tested accordingto known clinical testing methods.

The term “monoclonal antibody” as used herein refers to an antibodyobtained from a substantially homogeneous population of antibodies,i.e.; the individual antibodies comprising the population are identicalexcept for possible naturally occurring mutations that may be present inminor amounts. The monoclonal antibodies herein specifically include“chimeric” antibodies in which a portion of the heavy and/or light chainis identical with or homologous to corresponding sequences in antibodiesderived from a particular species or belonging to a particular antibodyclass or subclass, while the remainder of the chain(s) is identical withor homologous to corresponding sequences in antibodies derived fromanother species or belonging to another antibody class or subclass, aswell as fragments of such antibodies, so long as they exhibit thedesired antagonistic activity (U.S. Pat. No. 4,816,567, which is herebyincorporated in its entirety).

Monoclonal antibodies of the invention may be prepared using hybridomamethods. In a hybridoma method, a mouse or other appropriate host animalis typically immunized with an immunizing agent to elicit lymphocytesthat produce or are capable of producing antibodies that willspecifically bind to the immunizing agent. Alternatively, thelymphocytes may be immunized in vitro.

The monoclonal antibodies may also be made by recombinant DNA methods,such as those described in U.S. Pat. No. 4,816,567. DNA encoding themonoclonal antibodies of the invention can be readily isolated andsequenced using conventional procedures (e.g., by using oligonucleotideprobes that are capable of binding specifically to genes encoding theheavy and light chains of murine antibodies).

In vitro methods are also suitable for preparing monovalent antibodies.Digestion of antibodies to produce fragments thereof, particularly Fabfragments, can be accomplished using routine techniques known in theart. For instance, digestion can be performed using papain. Examples ofpapain digestion are described in WO 94/29348 and U.S. Pat. No.4,342,566. Papain digestion of antibodies typically produces twoidentical antigen binding fragments, called Fab fragments, each with asingle antigen binding site, and a residual Fc fragment. Pepsintreatment yields a F(ab′)2 fragment and a pFc′ fragment.

The antibody fragments, whether attached to other sequences or not, canalso include insertions, deletions, substitutions, or other selectedmodifications of particular regions or specific amino acids residues,provided the activity of the fragment is not significantly altered orimpaired compared to the non-modified antibody or antibody fragment.These modifications can provide for some additional property, such as toremove/add amino acids capable of disulfide bonding, to increase itsbio-longevity, to alter its secretory characteristics, etc. In any case,the antibody fragment must possess a bioactive property, such as bindingactivity, regulation of binding at the binding domain, etc. Functionalor active regions of the antibody may be identified by mutagenesis of aspecific region of the protein, followed by expression and testing ofthe expressed polypeptide. Such methods are readily apparent to askilled practitioner in the art and can include site-specificmutagenesis of the nucleic acid encoding the antibody fragment.

The antibodies of the invention may further comprise humanizedantibodies or human antibodies. Humanized forms of non-human (e.g.,murine) antibodies are chimeric immunoglobulins, immunoglobulin chainsor fragments thereof (such as Fv, Fab, Fab′ or other antigen-bindingsubsequences of antibodies) which contain minimal sequence derived fromnon-human immunoglobulin. Humanized antibodies include humanimmunoglobulins (recipient antibody) in which residues from acomplementary determining region (CDR) of the recipient are replaced byresidues from a CDR of a non-human species (donor antibody) such asmouse, rat or rabbit having the desired specificity, affinity andcapacity. In some instances, Fv framework (FR) residues of the humanimmunoglobulin are replaced by corresponding non-human residues.Humanized antibodies may also comprise residues which are found neitherin the recipient antibody nor in the imported CDR or frameworksequences. In general, the humanized antibody will comprisesubstantially all of at least one, and typically two, variable domains,in which all or substantially all of the CDR regions correspond to thoseof a non-human immunoglobulin and all or substantially all of the FRregions are those of a human immunoglobulin consensus sequence. Thehumanized antibody optimally also will comprise at least a portion of animmunoglobulin constant region (Fc), typically that of a humanimmunoglobulin.

Methods for humanizing non-human antibodies are well known in the art.Generally, a humanized antibody has one or more amino acid residuesintroduced into it from a source which is non-human. These non-humanamino acid residues are often referred to as “import” residues, whichare typically taken from an “import” variable domain. Humanization canbe essentially performed by substituting rodent CDRs or CDR sequencesfor the corresponding sequences of a human antibody. Accordingly, such“humanized” antibodies are chimeric antibodies (U.S. Pat. No.4,816,567), wherein substantially less than an intact human variabledomain has been substituted by the corresponding sequence from anon-human species. In practice, humanized antibodies are typically humanantibodies in which some CDR residues and possibly some FR residues aresubstituted by residues from analogous sites in rodent antibodies.

Transgenic animals (e.g., mice) that are capable, upon immunization, ofproducing a full repertoire of human antibodies in the absence ofendogenous immunoglobulin production can be employed. For example, ithas been described that the homozygous deletion of the antibody heavychain joining region gene in chimeric and germ-line mutant mice resultsin complete inhibition of endogenous antibody production. Transfer ofthe human germ-line immunoglobulin gene array in such germ-line mutantmice will result in the production of human antibodies upon antigenchallenge. Human antibodies can also be produced in phage displaylibraries.

Antibodies of the invention are preferably administered to a subject ina pharmaceutically acceptable carrier. Typically, an appropriate amountof a pharmaceutically-acceptable salt is used in the formulation torender the formulation isotonic. Examples of thepharmaceutically-acceptable carrier include saline, Ringer's solutionand dextrose solution. The pH of the solution is preferably from about 5to about 8, and more preferably from about 7 to about 7.5. Furthercarriers include sustained release preparations such as semipermeablematrices of solid hydrophobic polymers containing the antibody, whichmatrices are in the form of shaped articles, e.g., films, liposomes ormicroparticles. It will be apparent to those persons skilled in the artthat certain carriers may be more preferable depending upon, forinstance, the route of administration and concentration of antibodybeing administered.

The antibodies can be administered to the subject, patient, or cell byinjection (e.g., intravenous, intraperitoneal, subcutaneous,intramuscular), or by other methods such as infusion that ensure itsdelivery to the bloodstream in an effective form. The antibodies mayalso be administered by intratumoral or peritumoral routes, to exertlocal as well as systemic therapeutic effects. Local or intravenousinjection is preferred.

Effective dosages and schedules for administering the antibodies may bedetermined empirically, and making such determinations is within theskill in the art. Those skilled in the art will understand that thedosage of antibodies that must be administered will vary depending on,for example, the subject that will receive the antibody, the route ofadministration, the particular type of antibody used and other drugsbeing administered. A typical daily dosage of the antibody used alonemight range from about 1 (μg/kg to up to 100 mg/kg of body weight ormore per day, depending on the factors mentioned above. Followingadministration of an antibody, preferably for treating acute myeloidleukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer,the efficacy of the therapeutic antibody can be assessed in various wayswell known to the skilled practitioner. For instance, the size, number,and/or distribution of cancer in a subject receiving treatment may bemonitored using standard tumor imaging techniques. Atherapeutically-administered antibody that arrests tumor growth, resultsin tumor shrinkage, and/or prevents the development of new tumors,compared to the disease course that would occurs in the absence ofantibody administration, is an efficacious antibody for treatment ofcancer.

It is a further aspect of the invention to provide a method forproducing a soluble T-cell receptor (sTCR) recognizing a specificpeptide-MHC complex. Such soluble T-cell receptors can be generated fromspecific T-cell clones, and their affinity can be increased bymutagenesis targeting the complementarity-determining regions. For thepurpose of T-cell receptor selection, phage display can be used (US2010/0113300, (Liddy et al., 2012)). For the purpose of stabilization ofT-cell receptors during phage display and in case of practical use asdrug, alpha and beta chain can be linked e.g. by non-native disulfidebonds, other covalent bonds (single-chain T-cell receptor), or bydimerization domains (Boulter et al., 2003; Card et al., 2004; Willcoxet al., 1999). The T-cell receptor can be linked to toxins, drugs,cytokines (see, for example, US 2013/0115191), and domains recruitingeffector cells such as an anti-CD3 domain, etc., in order to executeparticular functions on target cells. Moreover, it could be expressed inT cells used for adoptive transfer. Further information can be found inWO 2004/033685A1 and WO 2004/074322A1. A combination of sTCRs isdescribed in WO 2012/056407A1. Further methods for the production aredisclosed in WO 2013/057586A1.

In addition, the peptides and/or the TCRs or antibodies or other bindingmolecules of the present invention can be used to verify a pathologist'sdiagnosis of a cancer based on a biopsied sample.

The antibodies or TCRs may also be used for in vivo diagnostic assays.Generally, the antibody is labeled with a radionucleotide (such as¹¹¹In, ⁹⁹Tc, ¹⁴C, ¹³¹I, ³H, ³²P or ³⁵S) so that the tumor can belocalized using immunoscintiography. In one embodiment, antibodies orfragments thereof bind to the extracellular domains of two or moretargets of a protein selected from the group consisting of theabove-mentioned proteins, and the affinity value (Kd) is less than 1×10μM.

Antibodies for diagnostic use may be labeled with probes suitable fordetection by various imaging methods. Methods for detection of probesinclude, but are not limited to, fluorescence, light, confocal andelectron microscopy; magnetic resonance imaging and spectroscopy;fluoroscopy, computed tomography and positron emission tomography.Suitable probes include, but are not limited to, fluorescein, rhodamine,eosin and other fluorophores, radioisotopes, gold, gadolinium and otherlanthanides, paramagnetic iron, fluorine-18 and other positron-emittingradionuclides. Additionally, probes may be bi- or multi-functional andbe detectable by more than one of the methods listed. These antibodiesmay be directly or indirectly labeled with said probes. Attachment ofprobes to the antibodies includes covalent attachment of the probe,incorporation of the probe into the antibody, and the covalentattachment of a chelating compound for binding of probe, amongst otherswell recognized in the art. For immunohistochemistry, the disease tissuesample may be fresh or frozen or may be embedded in paraffin and fixedwith a preservative such as formalin. The fixed or embedded sectioncontains the sample are contacted with a labeled primary antibody andsecondary antibody, wherein the antibody is used to detect theexpression of the proteins in situ.

Another aspect of the present invention includes an in vitro method forproducing activated T cells, the method comprising contacting in vitro Tcells with antigen loaded human MHC molecules expressed on the surfaceof a suitable antigen-presenting cell for a period of time sufficient toactivate the T cell in an antigen specific manner, wherein the antigenis a peptide according to the invention. Preferably a sufficient amountof the antigen is used with an antigen-presenting cell.

Preferably the mammalian cell lacks or has a reduced level or functionof the TAP peptide transporter. Suitable cells that lack the TAP peptidetransporter include T2, RMA-S and Drosophila cells. TAP is thetransporter associated with antigen processing.

The human peptide loading deficient cell line T2 is available from theAmerican Type Culture Collection, 12301 Parklawn Drive, Rockville, Md.20852, USA under Catalogue No CRL 1992; the Drosophila cell lineSchneider line 2 is available from the ATCC under Catalogue No CRL19863; the mouse RMA-S cell line is described in Ljunggren et al.(Ljunggren and Karre, 1985).

Preferably, before transfection the host cell expresses substantially noMHC class I molecules. It is also preferred that the stimulator cellexpresses a molecule important for providing a co-stimulatory signal forT-cells such as any of B7.1, B7.2, ICAM-1 and LFA 3. The nucleic acidsequences of numerous MHC class I molecules and of the co-stimulatormolecules are publicly available from the GenBank and EMBL databases.

In case of an MHC class I epitope being used as an antigen; the T cellsare CD8-positive T cells.

If an antigen-presenting cell is transfected to express such an epitope,preferably the cell comprises an expression vector capable of expressinga peptide containing SEQ ID NO: 1 to SEQ ID NO: 518, or a variant aminoacid sequence thereof.

A number of other methods may be used for generating T cells in vitro.For example, autologous tumor-infiltrating lymphocytes can be used inthe generation of CTL. Plebanski et al. (Plebanski et al., 1995) madeuse of autologous peripheral blood lymphocytes (PLBs) in the preparationof T cells. Furthermore, the production of autologous T cells by pulsingdendritic cells with peptide or polypeptide, or via infection withrecombinant virus is possible. Also, B cells can be used in theproduction of autologous T cells. In addition, macrophages pulsed withpeptide or polypeptide, or infected with recombinant virus, may be usedin the preparation of autologous T cells. S. Walter et al. (Walter etal., 2003) describe the in vitro priming of T cells by using artificialantigen presenting cells (aAPCs), which is also a suitable way forgenerating T cells against the peptide of choice. In the presentinvention, aAPCs were generated by the coupling of preformed MHC:peptidecomplexes to the surface of polystyrene particles (microbeads) bybiotin:streptavidin biochemistry. This system permits the exact controlof the MHC density on aAPCs, which allows to selectively elicit high- orlow-avidity antigen-specific T cell responses with high efficiency fromblood samples. Apart from MHC:peptide complexes, aAPCs should carryother proteins with co-stimulatory activity like anti-CD28 antibodiescoupled to their surface. Furthermore, such aAPC-based systems oftenrequire the addition of appropriate soluble factors, e.g. cytokines,like interleukin-12.

Allogeneic cells may also be used in the preparation of T cells and amethod is described in detail in WO 97/26328, incorporated herein byreference. For example, in addition to Drosophila cells and T2 cells,other cells may be used to present antigens such as CHO cells,baculovirus-infected insect cells, bacteria, yeast, andvaccinia-infected target cells. In addition plant viruses may be used(see, for example, Porta et al. (Porta et al., 1994) which describes thedevelopment of cowpea mosaic virus as a high-yielding system for thepresentation of foreign peptides.

The activated T cells that are directed against the peptides of theinvention are useful in therapy. Thus, a further aspect of the inventionprovides activated T cells obtainable by the foregoing methods of theinvention.

Activated T cells, which are produced by the above method, willselectively recognize a cell that aberrantly expresses a polypeptidethat comprises an amino acid sequence of SEQ ID NO: 1 to SEQ ID NO 518.

Preferably, the T cell recognizes the cell by interacting through itsTCR with the HLA/peptide-complex (for example, binding). The T cells areuseful in a method of killing target cells in a patient whose targetcells aberrantly express a polypeptide comprising an amino acid sequenceof the invention wherein the patient is administered an effective numberof the activated T cells. The T cells that are administered to thepatient may be derived from the patient and activated as described above(i.e. they are autologous T cells). Alternatively, the T cells are notfrom the patient but are from another individual. Of course, it ispreferred if the individual is a healthy individual. By “healthyindividual” the inventors mean that the individual is generally in goodhealth, preferably has a competent immune system and, more preferably,is not suffering from any disease that can be readily tested for anddetected.

In vivo, the target cells for the CD8-positive T cells according to thepresent invention can be cells of the tumor (which sometimes express MHCclass II) and/or stromal cells surrounding the tumor (tumor cells)(which sometimes also express MHC class II; (Dengjel et al., 2006)).

The T cells of the present invention may be used as active ingredientsof a therapeutic composition. Thus, the invention also provides a methodof killing target cells in a patient whose target cells aberrantlyexpress a polypeptide comprising an amino acid sequence of theinvention, the method comprising administering to the patient aneffective number of T cells as defined above.

By “aberrantly expressed” the inventors also mean that the polypeptideis over-expressed compared to levels of expression in normal tissues orthat the gene is silent in the tissue from which the tumor is derivedbut, in the tumor, it is expressed. By “over-expressed” the inventorsmean that the polypeptide is present at a level at least 1.2-fold ofthat present in normal tissue; preferably at least 2-fold, and morepreferably at least 5-fold or 10-fold the level present in normaltissue.

T cells may be obtained by methods known in the art, e.g. thosedescribed above.

Protocols for this so-called adoptive transfer of T cells are well knownin the art. Reviews can be found in: Gattioni et al. and Morgan et al.(Gattinoni et al., 2006; Morgan et al., 2006).

Another aspect of the present invention includes the use of the peptidescomplexed with MHC to generate a T-cell receptor whose nucleic acid iscloned and is introduced into a host cell, preferably a T cell. Thisengineered T cell can then be transferred to a patient for therapy ofcancer.

Any molecule of the invention, i.e. the peptide, nucleic acid, antibody,expression vector, cell, activated T cell, T-cell receptor or thenucleic acid encoding it, is useful for the treatment of disorders,characterized by cells escaping an immune response. Therefore, anymolecule of the present invention may be used as medicament or in themanufacture of a medicament. The molecule may be used by itself orcombined with other molecule(s) of the invention or (a) knownmolecule(s).

The present invention is further directed at a kit comprising:

-   -   (a) a container containing a pharmaceutical composition as        described above, in solution or in lyophilized form;    -   (b) optionally a second container containing a diluent or        reconstituting solution for the lyophilized formulation; and    -   (c) optionally, instructions for (i) use of the solution or (ii)        reconstitution and/or use of the lyophilized formulation.

The kit may further comprise one or more of (iii) a buffer, (iv) adiluent, (v) a filter, (vi) a needle, or (v) a syringe. The container ispreferably a bottle, a vial, a syringe or test tube; and it may be amulti-use container. The pharmaceutical composition is preferablylyophilized.

Kits of the present invention preferably comprise a lyophilizedformulation of the present invention in a suitable container andinstructions for its reconstitution and/or use. Suitable containersinclude, for example, bottles, vials (e.g. dual chamber vials), syringes(such as dual chamber syringes) and test tubes. The container may beformed from a variety of materials such as glass or plastic. Preferablythe kit and/or container contain/s instructions on or associated withthe container that indicates directions for reconstitution and/or use.For example, the label may indicate that the lyophilized formulation isto be reconstituted to peptide concentrations as described above. Thelabel may further indicate that the formulation is useful or intendedfor subcutaneous administration.

The container holding the formulation may be a multi-use vial, whichallows for repeat administrations (e.g., from 2-6 administrations) ofthe reconstituted formulation. The kit may further comprise a secondcontainer comprising a suitable diluent (e.g., sodium bicarbonatesolution).

Upon mixing of the diluent and the lyophilized formulation, the finalpeptide concentration in the reconstituted formulation is preferably atleast 0.15 mg/mL/peptide (=75 μg) and preferably not more than 3mg/mL/peptide (=1500 μg). The kit may further include other materialsdesirable from a commercial and user standpoint, including otherbuffers, diluents, filters, needles, syringes, and package inserts withinstructions for use.

Kits of the present invention may have a single container that containsthe formulation of the pharmaceutical compositions according to thepresent invention with or without other components (e.g., othercompounds or pharmaceutical compositions of these other compounds) ormay have distinct container for each component.

Preferably, kits of the invention include a formulation of the inventionpackaged for use in combination with the co-administration of a secondcompound (such as adjuvants (e.g. GM-CSF), a chemotherapeutic agent, anatural product, a hormone or antagonist, an anti-angiogenesis agent orinhibitor, an apoptosis-inducing agent or a chelator) or apharmaceutical composition thereof. The components of the kit may bepre-complexed or each component may be in a separate distinct containerprior to administration to a patient. The components of the kit may beprovided in one or more liquid solutions, preferably, an aqueoussolution, more preferably, a sterile aqueous solution. The components ofthe kit may also be provided as solids, which may be converted intoliquids by addition of suitable solvents, which are preferably providedin another distinct container.

The container of a therapeutic kit may be a vial, test tube, flask,bottle, syringe, or any other means of enclosing a solid or liquid.Usually, when there is more than one component, the kit will contain asecond vial or other container, which allows for separate dosing. Thekit may also contain another container for a pharmaceutically acceptableliquid. Preferably, a therapeutic kit will contain an apparatus (e.g.,one or more needles, syringes, eye droppers, pipette, etc.), whichenables administration of the agents of the invention that arecomponents of the present kit.

The present formulation is one that is suitable for administration ofthe peptides by any acceptable route such as oral (enteral), nasal,ophthal, subcutaneous, intradermal, intramuscular, intravenous ortransdermal. Preferably, the administration is s.c., and most preferablyi.d. administration may be by infusion pump.

Since the peptides of the invention were isolated from acute myeloidleukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer,the medicament of the invention is preferably used to treat acutemyeloid leukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer.

The present invention further relates to a method for producing apersonalized pharmaceutical for an individual patient comprisingmanufacturing a pharmaceutical composition comprising at least onepeptide selected from a warehouse of pre-screened TUMAPs, wherein the atleast one peptide used in the pharmaceutical composition is selected forsuitability in the individual patient. In one embodiment, thepharmaceutical composition is a vaccine. The method could also beadapted to produce T cell clones for down-stream applications, such asTCR isolations, or soluble antibodies, and other treatment options.

A “personalized pharmaceutical” shall mean specifically tailoredtherapies for one individual patient that will only be used for therapyin such individual patient, including actively personalized cancervaccines and adoptive cellular therapies using autologous patienttissue.

As used herein, the term “warehouse” shall refer to a group or set ofpeptides that have been pre-screened for immunogenicity and/orover-presentation in a particular tumor type. The term “warehouse” isnot intended to imply that the particular peptides included in thevaccine have been pre-manufactured and stored in a physical facility,although that possibility is contemplated. It is expressly contemplatedthat the peptides may be manufactured de novo for each individualizedvaccine produced or may be pre-manufactured and stored. The warehouse(e.g. in the form of a database) is composed of tumor-associatedpeptides which were highly overexpressed in the tumor tissue of acutemyeloid leukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancerpatients with various HLA-A HLA-B and HLA-C alleles. It may contain MHCclass I and MHC class II peptides or elongated MHC class I peptides. Inaddition to the tumor associated peptides collected from several acutemyeloid leukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancertissues, the warehouse may contain HLA-A*02, HLA-A*01, HLA-A*03,HLA-A*24, HLA-B*07, HLA-B*08 and HLA-B*44 marker peptides. Thesepeptides allow comparison of the magnitude of T-cell immunity induced byTUMAPS in a quantitative manner and hence allow important conclusion tobe drawn on the capacity of the vaccine to elicit anti-tumor responses.Secondly, they function as important positive control peptides derivedfrom a “non-self” antigen in the case that any vaccine-induced T-cellresponses to TUMAPs derived from “self” antigens in a patient are notobserved. And thirdly, it may allow conclusions to be drawn, regardingthe status of immunocompetence of the patient.

TUMAPs for the warehouse are identified by using an integratedfunctional genomics approach combining gene expression analysis, massspectrometry, and T-cell immunology (XPresident®). The approach assuresthat only TUMAPs truly present on a high percentage of tumors but not oronly minimally expressed on normal tissue, are chosen for furtheranalysis. For initial peptide selection, acute myeloid leukemia, breastcancer, cholangiocellular carcinoma, chronic lymphocytic leukemia,colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer,hepatocellular carcinoma, head and neck squamous cell carcinoma,melanoma, non-Hodgkin lymphoma, lung cancer (including non-small celllung cancer adenocarcinoma, squamous cell non-small cell lung cancer,and small cell lung cancer), ovarian cancer, esophageal cancer,pancreatic cancer, prostate cancer, renal cell carcinoma, urinarybladder carcinoma, uterine and endometrial cancer samples from patientsand blood from healthy donors were analyzed in a stepwise approach:

1. HLA ligands from the malignant material were identified by massspectrometry2. Genome-wide messenger ribonucleic acid (mRNA) expression analysis wasused to identify genes over-expressed in the malignant tissue (acutemyeloid leukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer)compared with a range of normal organs and tissues3. Identified HLA ligands were compared to gene expression data.Peptides over-presented or selectively presented on tumor tissue,preferably encoded by selectively expressed or over-expressed genes asdetected in step 2 were considered suitable TUMAP candidates for amulti-peptide vaccine.4. Literature research was performed in order to identify additionalevidence supporting the relevance of the identified peptides as TUMAPs5. The relevance of over-expression at the mRNA level was confirmed byredetection of selected TUMAPs from step 3 on tumor tissue and lack of(or infrequent) detection on healthy tissues.6. In order to assess, whether an induction of in vivo T-cell responsesby the selected peptides may be feasible, in vitro immunogenicity assayswere performed using human T cells from healthy donors as well as fromacute myeloid leukemia, breast cancer, cholangiocellular carcinoma,chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancerpatients.

In an aspect, the peptides are pre-screened for immunogenicity beforebeing included in the warehouse. By way of example, and not limitation,the immunogenicity of the peptides included in the warehouse isdetermined by a method comprising in vitro T-cell priming throughrepeated stimulations of CD8+ T cells from healthy donors withartificial antigen presenting cells loaded with peptide/MHC complexesand anti-CD28 antibody.

This method is preferred for rare cancers and patients with a rareexpression profile. In contrast to multi-peptide cocktails with a fixedcomposition as currently developed, the warehouse allows a significantlyhigher matching of the actual expression of antigens in the tumor withthe vaccine. Selected single or combinations of several “off-the-shelf”peptides will be used for each patient in a multitarget approach. Intheory an approach based on selection of e.g. 5 different antigenicpeptides from a library of 50 would already lead to approximately 17million possible drug product (DP) compositions.

In an aspect, the peptides are selected for inclusion in the vaccinebased on their suitability for the individual patient based on themethod according to the present invention as described herein, or asbelow.

The HLA phenotype, transcriptomic and peptidomic data is gathered fromthe patient's tumor material, and blood samples to identify the mostsuitable peptides for each patient containing “warehouse” andpatient-unique (i.e. mutated) TUMAPs. Those peptides will be chosen,which are selectively or over-expressed in the patient's tumor and,where possible, show strong in vitro immunogenicity if tested with thepatients' individual PBMCs.

Preferably, the peptides included in the vaccine are identified by amethod comprising: (a) identifying tumor-associated peptides (TUMAPs)presented by a tumor sample from the individual patient; (b) comparingthe peptides identified in (a) with a warehouse (database) of peptidesas described above; and (c) selecting at least one peptide from thewarehouse (database) that correlates with a tumor-associated peptideidentified in the patient. For example, the TUMAPs presented by thetumor sample are identified by: (al) comparing expression data from thetumor sample to expression data from a sample of normal tissuecorresponding to the tissue type of the tumor sample to identifyproteins that are over-expressed or aberrantly expressed in the tumorsample; and (a2) correlating the expression data with sequences of MHCligands bound to MHC class I and/or class II molecules in the tumorsample to identify MHC ligands derived from proteins over-expressed oraberrantly expressed by the tumor. Preferably, the sequences of MHCligands are identified by eluting bound peptides from MHC moleculesisolated from the tumor sample and sequencing the eluted ligands.Preferably, the tumor sample and the normal tissue are obtained from thesame patient.

In addition to, or as an alternative to, selecting peptides using awarehousing (database) model, TUMAPs may be identified in the patient denovo, and then included in the vaccine. As one example, candidate TUMAPsmay be identified in the patient by (al) comparing expression data fromthe tumor sample to expression data from a sample of normal tissuecorresponding to the tissue type of the tumor sample to identifyproteins that are over-expressed or aberrantly expressed in the tumorsample; and (a2) correlating the expression data with sequences of MHCligands bound to MHC class I and/or class II molecules in the tumorsample to identify MHC ligands derived from proteins over-expressed oraberrantly expressed by the tumor. As another example, proteins may beidentified containing mutations that are unique to the tumor samplerelative to normal corresponding tissue from the individual patient, andTUMAPs can be identified that specifically target the mutation. Forexample, the genome of the tumor and of corresponding normal tissue canbe sequenced by whole genome sequencing: For discovery of non-synonymousmutations in the protein-coding regions of genes, genomic DNA and RNAare extracted from tumor tissues and normal non-mutated genomic germlineDNA is extracted from peripheral blood mononuclear cells (PBMCs). Theapplied NGS approach is confined to the re-sequencing of protein codingregions (exome re-sequencing). For this purpose, exonic DNA from humansamples is captured using vendor-supplied target enrichment kits,followed by sequencing with e.g. a HiSeq2000 (Illumina).

Additionally, tumor mRNA is sequenced for direct quantification of geneexpression and validation that mutated genes are expressed in thepatients' tumors. The resultant millions of sequence reads are processedthrough software algorithms. The output list contains mutations and geneexpression. Tumor-specific somatic mutations are determined bycomparison with the PBMC-derived germline variations and prioritized.The de novo identified peptides can then be tested for immunogenicity asdescribed above for the warehouse, and candidate TUMAPs possessingsuitable immunogenicity are selected for inclusion in the vaccine.

In one exemplary embodiment, the peptides included in the vaccine areidentified by: (a) identifying tumor-associated peptides (TUMAPs)presented by a tumor sample from the individual patient by the method asdescribed above; (b) comparing the peptides identified in a) with awarehouse of peptides that have been prescreened for immunogenicity andoverpresentation in tumors as compared to corresponding normal tissue;(c) selecting at least one peptide from the warehouse that correlateswith a tumor-associated peptide identified in the patient; and (d)optionally, selecting at least one peptide identified de novo in (a)confirming its immunogenicity.

In one exemplary embodiment, the peptides included in the vaccine areidentified by: (a) identifying tumor-associated peptides (TUMAPs)presented by a tumor sample from the individual patient; and (b)selecting at least one peptide identified de novo in (a) and confirmingits immunogenicity.

Once the peptides for a personalized peptide-based vaccine are selected,the vaccine is produced. The vaccine preferably is a liquid formulationconsisting of the individual peptides dissolved in between 20-40% DMSO,preferably about 30-35% DMSO, such as about 33% DMSO.

Each peptide to be included into a product is dissolved in DMSO. Theconcentration of the single peptide solutions has to be chosen dependingon the number of peptides to be included into the product. The singlepeptide-DMSO solutions are mixed in equal parts to achieve a solutioncontaining all peptides to be included in the product with aconcentration of ˜2.5 mg/ml per peptide. The mixed solution is thendiluted 1:3 with water for injection to achieve a concentration of 0.826mg/ml per peptide in 33% DMSO. The diluted solution is filtered througha 0.22 μm sterile filter. The final bulk solution is obtained.

Final bulk solution is filled into vials and stored at −20° C. untiluse. One vial contains 700 μL solution, containing 0.578 mg of eachpeptide. Of this, 500 μL (approx. 400 μg per peptide) will be appliedfor intradermal injection.

In addition to being useful for treating cancer, the peptides of thepresent invention are also useful as diagnostics. Since the peptideswere generated from acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer cells and since it was determined thatthese peptides are not or at lower levels present in normal tissues,these peptides can be used to diagnose the presence of a cancer.

The presence of claimed peptides on tissue biopsies in blood samples canassist a pathologist in diagnosis of cancer. Detection of certainpeptides by means of antibodies, mass spectrometry or other methodsknown in the art can tell the pathologist that the tissue sample ismalignant or inflamed or generally diseased, or can be used as abiomarker for acute myeloid leukemia, breast cancer, cholangiocellularcarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladdercancer, glioblastoma, gastric cancer, hepatocellular carcinoma, head andneck squamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lungcancer (including non-small cell lung cancer adenocarcinoma, squamouscell non-small cell lung cancer, and small cell lung cancer), ovariancancer, esophageal cancer, pancreatic cancer, prostate cancer, renalcell carcinoma, urinary bladder carcinoma, uterine and endometrialcancer. Presence of groups of peptides can enable classification orsub-classification of diseased tissues.

The detection of peptides on diseased tissue specimen can enable thedecision about the benefit of therapies involving the immune system,especially if T-lymphocytes are known or expected to be involved in themechanism of action. Loss of MHC expression is a well describedmechanism by which infected of malignant cells escapeimmuno-surveillance. Thus, presence of peptides shows that thismechanism is not exploited by the analyzed cells.

The peptides of the present invention might be used to analyzelymphocyte responses against those peptides such as T cell responses orantibody responses against the peptide or the peptide complexed to MHCmolecules. These lymphocyte responses can be used as prognostic markersfor decision on further therapy steps. These responses can also be usedas surrogate response markers in immunotherapy approaches aiming toinduce lymphocyte responses by different means, e.g. vaccination ofprotein, nucleic acids, autologous materials, adoptive transfer oflymphocytes. In gene therapy settings, lymphocyte responses againstpeptides can be considered in the assessment of side effects. Monitoringof lymphocyte responses might also be a valuable tool for follow-upexaminations of transplantation therapies, e.g. for the detection ofgraft versus host and host versus graft diseases.

The present invention will now be described in the following exampleswhich describe preferred embodiments thereof, and with reference to theaccompanying figures, nevertheless, without being limited thereto. Forthe purposes of the present invention, all references as cited hereinare incorporated by reference in their entireties.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A through 1M show the over-presentation of various peptides indifferent cancer tissues (black dots). Upper part: Median MS signalintensities from technical replicate measurements are plotted as dotsfor single HLA-B*44 positive normal (grey dots, left part of figure) andtumor samples (black dots, right part of figure) on which the peptidewas detected. Boxes display median, 25th and 75th percentile ofnormalized signal intensities, while whiskers extend to the lowest datapoint still within 1.5 interquartile range (IQR) of the lower quartile,and the highest data point still within 1.5 IQR of the upper quartile.Normal organs are ordered according to risk categories (blood cells,blood vessels, brain, liver, lung: high risk, grey dots; reproductiveorgans, breast, prostate: low risk, grey dots; all other organs: mediumrisk; grey dots). Lower part: The relative peptide detection frequencyin every organ is shown as spine plot. Numbers below the panel indicatenumber of samples on which the peptide was detected out of the totalnumber of samples analyzed for each organ (N=124 for normal samples,N=159 for tumor samples). If the peptide has been detected on a samplebut could not be quantified for technical reasons, the sample isincluded in this representation of detection frequency, but no dot isshown in the upper part of the figure. Tissues (from left to right):Normal samples: blood cells; bloodvess (blood vessels); brain; heart;liver; lung; adrenal gl (adrenal gland); bile duct; bladder; bonemarrow; esoph (esophagus); gall bl (gallbladder); intest. la (largeintestine); intest. sm (small intestine); kidney; lymph node; nerve cent(central nerve); nerve periph (peripheral nerve); pancreas; pituit(pituitary); skin; spinal cord; spleen; stomach; thyroid; trachea; Tumorsamples: AML (acute myeloid leukemia); BRCA (breast cancer); CCC(cholangiocellular carcinoma); CLL (chronic lymphocytic leukemia); CRC(colorectal cancer); GBC (gallbladder cancer); GBM (glioblastoma); GC(gastric cancer); HCC (hepatocellular carcinoma); HNSCC (head and necksquamous cell carcinoma); MEL (melanoma); NHL (non-Hodgkin lymphoma);NSCLCadeno (non-small cell lung cancer adenocarcinoma); NSCLCother(NSCLC samples that could not unambiguously be assigned to NSCLCadeno orNSCLCsquam); NSCLCsquam (squamous cell non-small cell lung cancer); OC(ovarian cancer); OSCAR (esophageal cancer); PACA (pancreatic cancer);PRCA (prostate cancer); RCC (renal cell carcinoma); SCLC (small celllung cancer); UBC (urinary bladder carcinoma); UEC (uterine andendometrial cancer). FIG. 1A: Gene symbols: KRT13, KRT17, Peptide:TELEVKIRDW (SEQ ID NO.: 196), FIG. 1B: Gene symbol: VCAN, Peptide:VEAATVSKW (SEQ ID NO.: 225), FIG. 1C: Gene symbol: EGFR, Peptide:QEILHGAVRF (SEQ ID NO.: 253), FIG. 1D: Gene symbol: TRPS1, Peptide:VEEEISRHY (SEQ ID NO.: 283), FIG. 1E: Gene symbol: KRT16, Peptide:AEKNRRDAETW (SEQ ID NO.: 305), FIG. 1F: Gene symbols: ZNF761, ZNF765,Peptide: EECDKAYSF (SEQ ID NO.: 364), FIG. 1G: Gene symbol: RTP4,Peptide: QEAKPRATW (SEQ ID NO.: 409), FIG. 1H: Gene symbol: PRDM15,Peptide: NEVDGEYRY (SEQ ID NO.: 452), FIG. 1I: Gene symbol: FGD6,Peptide: SESKVFQLL (SEQ ID NO.: 453), FIG. 1J: Gene symbol: TRPM8,Peptide: DEIFTNDRRW (SEQ ID NO.: 3), FIG. 1K: Gene symbols: ALPP,ALPPL2, Peptide: AEALGAAKKL (SEQ ID NO.: 4), FIG. 1L: Gene symbol:NLRP4, Peptide: NESDRLVYF (SEQ ID NO.: 16) and FIG. 1M: Gene symbol:RGS13, Peptide: MEHSDENIQFW (SEQ ID NO.: 19).

FIGS. 2A through 2U show exemplary expression profile of source genes ofthe present invention that are over-expressed in different cancersamples. Tumor (black dots) and normal (grey dots) samples are groupedaccording to organ of origin. Box-and-whisker plots represent medianFPKM value, 25th and 75th percentile (box) plus whiskers that extend tothe lowest data point still within 1.5 interquartile range (IQR) of thelower quartile and the highest data point still within 1.5 IQR of theupper quartile. Normal organs are ordered according to risk categories.FPKM: fragments per kilobase per million mapped reads. Normal samples:blood cells; bloodvess (blood vessels); brain; heart; liver; lung;adipose (adipose tissue); adrenal gl (adrenal gland); bile duct;bladder; bone marrow; esoph (esophagus); eye; gall bl (gallbladder);head&neck; intest. la (large intestine); intest. sm (small intestine);kidney; lymph node; nerve periph (peripheral nerve); pancreas; parathyr(parathyroid gland); perit (peritoneum); pituit (pituitary); pleura;skel. mus (skeletal muscle); skin; spleen; stomach; thyroid; trachea;ureter; breast; ovary; placenta; prostate; testis; thymus; uterus. Tumorsamples: AML (acute myeloid leukemia); BRCA (breast cancer); CCC(cholangiocellular carcinoma); CLL (chronic lymphocytic leukemia); CRC(colorectal cancer); GBC (gallbladder cancer); GBM (glioblastoma); GC(gastric cancer); HCC (hepatocellular carcinoma); HNSCC (head and necksquamous cell carcinoma); MEL (melanoma); NHL (non-Hodgkin lymphoma);NSCLCadeno (non-small cell lung cancer adenocarcinoma); NSCLCother(NSCLC samples that could not unambiguously be assigned to NSCLCadeno orNSCLCsquam); NSCLCsquam (squamous cell non-small cell lung cancer); OC(ovarian cancer); OSCAR (esophageal cancer); PACA (pancreatic cancer);PRCA (prostate cancer); RCC (renal cell carcinoma); SCLC (small celllung cancer); UBC (urinary bladder carcinoma); UEC (uterine andendometrial cancer). FIG. 2A: Gene symbol: MAGEA4, Peptide: KEVDPASNTYTL(SEQ ID No.: 1), FIG. 2B: Gene symbol: KLK2, Peptide: EEFLRPRSL (SEQ IDNo.: 2), FIG. 2C: Gene symbol: MAGEA3, Peptide: ELMEVDPIGHLY (SEQ IDNo.: 8), FIG. 2D: Gene symbol: MMP12, Peptide: EMPGGPVW (SEQ ID No.:14), FIG. 2E: Gene symbol: ESR1, Peptide: AEPPILYSEY (SEQ ID No.: 34),FIG. 2F: Gene symbol: MAGEA1, Peptide: AETSYVKVLEY (SEQ ID No.: 84),FIG. 2G: Gene symbol: PRAME, Peptide: QTLKAMVQAW (SEQ ID No.: 86), FIG.2H: Gene symbol: CTAG1A, CTAG1B, Peptide: KEFTVSGNIL (SEQ ID No.: 88),FIG. 21 : Gene symbol: MAGEB2, Peptide: EESLLSSWDF (SEQ ID No.: 91),FIG. 2J: Gene symbols: MAGEA10, MAGEA4, MAGEA9, MAGEA9B, Peptide:GEPRKLLTQDW (SEQ ID No.: 418), FIG. 2K: Gene symbol: MAGEC2, Peptide:VEFLLLKY (SEQ ID No.: 5), FIG. 2L: Gene symbol: ACPP, Peptide:AELVGPVIPQDW (SEQ ID No.: 6), FIG. 2M: Gene symbol: MAGEA10, Peptide:KEVDPTGHSF (SEQ ID No.: 12), FIG. 2N: Gene symbol: CTAG2, Peptide:MEAELVRRI (SEQ ID No.: 15), FIG. 20 : Gene symbol: MMP1, Peptide:REYNLHRVA (SEQ ID No.: 23), FIG. 2P: Gene symbol: FLT3, Peptide:REYEYDLKW (SEQ ID No.: 32), FIG. 2Q: Gene symbols: SSX3, SSX4, SSX4B,Peptide: SEKIVYVY (SEQ ID No.: 43), FIG. 2R: Gene symbol: ANKRD28,Peptide: DEVRALIF (SEQ ID No.: 48), FIG. 2S: Gene symbol: MAGEBI,Peptide: EDNPSGHTY (SEQ ID No.: 52), FIG. 2T: Gene symbol: PAKIIPI,Peptide: YEQVLFGF (SEQ ID No.: 63) and FIG. 2U: Gene symbol: DNAH17,Peptide: EEYQDSFERY (SEQ ID No.: 64).

FIGS. 3A-3G show exemplary results of peptide-specific in vitro CD8+ Tcell responses of a healthy HLA-B*44⁺ donor. CD8+ T cells were primedusing artificial APCs coated with anti-CD28 mAb and HLA-B*44 in complexwith SEQ ID NO: 469, peptide (SEAFPSRAL) (FIG. 3A, left panel), SEQ IDNO: 512 peptide (AEPLVGQRW) (FIG. 3B, left panel), SEQ ID NO: 9 peptide(MEVDPIGHLYIF) (FIG. 3C, left panel), SEQ ID NO: 11 peptide (EENIVAIGI)(FIG. 3D, left panel), SEQ ID NO: 17 peptide (SEIYQPRGF) (FIG. 3E, leftpanel), SEQ ID NO: 35 peptide (RELVHMINW) (FIG. 3F, left panel), SEQ IDNO: 41 peptide (EENTGKTYF) (FIG. 3G, left panel), respectively. Afterthree cycles of stimulation, the detection of peptide-reactive cells wasperformed by 2D multimer staining with B*44/SEQ ID NO: 469 (FIG. 3A),B*44/SEQ ID NO: 512 (FIG. 3B), B*44/SEQ ID NO: 9 (FIG. 3C), B*44/SEQ IDNO: 11 (D), B*44/SEQ ID NO: 17 (E), B*44/SEQ ID NO: 35 (F) or B*44/SEQID NO: 41 (FIG. 3G). Right panels (FIGS. 3A through 3G) show controlstaining of cells stimulated with irrelevant B*44/peptide complexes.Viable singlet cells were gated for CD8+ lymphocytes. Boolean gateshelped excluding false-positive events detected with multimers specificfor different peptides. Frequencies of specific multimer+ cells amongCD8+ lymphocytes are indicated.

EXAMPLES Example 1 Identification and Quantitation of Tumor AssociatedPeptides Presented on the Cell Surface Tissue Samples

Patients' tumor tissues were obtained from: Asterand (Detroit, Mich.,USA & Royston, Herts, UK), Bio-Options Inc. (Brea, Calif., USA),BioServe (Beltsville, Md., USA), Conversant Bio (Huntsville, Ala., USA),Geneticist Inc. (Glendale, Calif., USA), Kyoto Prefectural University ofMedicine (KPUM) (Kyoto, Japan), Osaka City University (OCU) (Osaka,Japan), University Hospital Heidelberg (Heidelberg, Germany),ProteoGenex Inc. (Culver City, Calif., USA), Stanford Cancer Center(Stanford, Calif., USA), Tissue Solutions Ltd (Glasgow, UK), UniversityHospital Bonn (Bonn, Germany), University Hospital Geneva (Geneva,Switzerland), University Hospital Tubingen (Tubingen, Germany). Normaltissues were obtained from Asterand (Detroit, Mich., USA & Royston,Herts, UK), BioServe (Beltsville, Md., USA), Capital BioScience Inc.(Rockville, Md., USA), Centre for Clinical Transfusion MedicineTuebingen (Tubingen, Germany), Geneticist Inc. (Glendale, Calif., USA),University Hospital Heidelberg (Heidelberg, Germany), Kyoto PrefecturalUniversity of Medicine (KPUM) (Kyoto, Japan), ProteoGenex Inc. (CulverCity, Calif., USA), Tissue Solutions Ltd (Glasgow, UK), UniversityHospital Tubingen (Tubingen, Germany).

Written informed consents of all patients had been given before surgeryor autopsy. Tissues were shock-frozen immediately after excision andstored until isolation of TUMAPs at −70° C. or below.

Isolation of HLA Peptides from Tissue Samples

HLA peptide pools from shock-frozen tissue samples were obtained byimmune precipitation from solid tissues according to a slightly modifiedprotocol (Falk et al., 1991; Seeger et al., 1999) using theHLA-A*0²⁻specific antibody BB7.2, the HLA-A, —B, C-specific antibodyW6/32, the HLA-DR specific antibody L243 and the HLA DP specificantibody B7/21, CNBr-activated sepharose, acid treatment, andultrafiltration.

Mass Spectrometry Analyses

The HLA peptide pools as obtained were separated according to theirhydrophobicity by reversed-phase chromatography (nanoAcquity UPLCsystem, Waters) and the eluting peptides were analyzed in LTQ-velos andfusion hybrid mass spectrometers (ThermoElectron) equipped with an ESIsource. Peptide pools were loaded directly onto the analyticalfused-silica micro-capillary column (75 μm i.d. ×250 mm) packed with 1.7μm C18 reversed-phase material (Waters) applying a flow rate of 400 nLper minute. Subsequently, the peptides were separated using a two-step180 minute-binary gradient from 10% to 33% B at a flow rate of 300 nLper minute. The gradient was composed of Solvent A (0.1% formic acid inwater) and solvent B (0.1% formic acid in acetonitrile). A gold coatedglass capillary (PicoTip, New Objective) was used for introduction intothe nanoESI source. The LTQ-Orbitrap mass spectrometers were operated inthe data-dependent mode using a TOP5 strategy. In brief, a scan cyclewas initiated with a full scan of high mass accuracy in the orbitrap(R=30 000), which was followed by MS/MS scans also in the orbitrap(R=7500) on the 5 most abundant precursor ions with dynamic exclusion ofpreviously selected ions. Tandem mass spectra were interpreted bySEQUEST at a fixed false discovery rate (q<0.05) and additional manualcontrol. In cases where the identified peptide sequence was uncertain itwas additionally validated by comparison of the generated naturalpeptide fragmentation pattern with the fragmentation pattern of asynthetic sequence-identical reference peptide.

Label-free relative LC-MS quantitation was performed by ion countingi.e. by extraction and analysis of LC-MS features (Mueller et al.,2007). The method assumes that the peptide's LC-MS signal areacorrelates with its abundance in the sample. Extracted features werefurther processed by charge state deconvolution and retention timealignment (Mueller et al., 2008; Sturm et al., 2008). Finally, all LC-MSfeatures were cross-referenced with the sequence identification resultsto combine quantitative data of different samples and tissues to peptidepresentation profiles. The quantitative data were normalized in atwo-tier fashion according to central tendency to account for variationwithin technical and biological replicates. Thus, each identifiedpeptide can be associated with quantitative data allowing relativequantification between samples and tissues. In addition, allquantitative data acquired for peptide candidates was inspected manuallyto assure data consistency and to verify the accuracy of the automatedanalysis. For each peptide a presentation profile was calculated showingthe mean sample presentation as well as replicate variations. Theprofiles juxtapose acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer samples to a baseline of normal tissuesamples. Presentation profiles of exemplary over-presented peptides areshown in FIGS. 1A-1M.

Table 8 shows the presentation on various cancer entities for selectedpeptides, and thus the particular relevance of the peptides as mentionedfor the diagnosis and/or treatment of the cancers as indicated (e.g.peptide SEQ ID No. 2 for prostate cancer (PRCA), peptide SEQ ID No. 16for gallbladder cancer (GBC), melanoma (MEL), and non-Hodgkin lymphoma(NHL)).

TABLE 8Overview of presentation of selected tumor-associated peptides of the presentinvention across entities. AML: acute myeloid leukemia; BRCA: breast cancer; CCC:cholangiocellular carcinoma; CLL: chronic lymphocytic leukemia; CRC: colorectalcancer; GBC: gallbladder cancer; GBM: glioblastoma; GC: gastric cancer; HCC:hepatocellular carcinoma; HNSCC: head and neck squamous cell carcinoma; MEL:melanoma; NHL: non-Hodgkin lymphoma; NSCLCadeno: non-small cell lung canceradenocarcinoma; NSCLCother: NSCLC samples that could not unambiguously beassigned to NSCLCadeno or NSCLCsquam; NSCLCsquam: squamous cell non-small celllung cancer; OC: ovarian cancer; OSCAR: esophageal cancer; PACA: pancreaticcancer; PRCA: prostate cancer; RCC: renal cell carcinoma; SCLC: small cell lungcancer; UBC: urinary bladder carcinoma; UEC: uterine and endometrial cancer.SEQ ID No. Sequence Peptide Presentation on cancer entities 1KEVDPASNTYTL NSCLCsquam 2 EEFLRPRSL PRCA 3 DEIFTNDRRW PRCA 4 AEALGAAKKLUEC 5 VEFLLLKY HCC 6 AELVGPVIPQDW PRCA 7 SESDLVNFI PRCA 8 ELMEVDPIGHLYOSCAR 9 MEVDPIGHLYIF GBC, HCC, NHL, NSCLCadeno, NSCLCsquam, OC, OSCAR 10SEYPTKNYV NSCLCadeno 11 EENIVAIGI PRCA 12 KEVDPTGHSF GBC, MEL 13VEAQDRETW RCC 14 EMPGGPVW CRC, UBC 15 MEAELVRRI MEL 16 NESDRLVYFGBC, MEL, NHL 17 SEIYQPRGF NHL 18 QEAPRPASSL NSCLCsquam 19 MEHSDENIQFWNHL 20 LEALLSDLF BRCA, CRC, GC, NHL, NSCLCadeno, NSCLCsquam,OSCAR, UBC, UEC 21 SEAKEIKSQL BRCA 22 TEEITEGVWAML, CLL, HNSCC, NSCLCadeno 23 REYNLHRVA HNSCC 24 EELALRIGL CCC 25SEKEPGQQY HCC 26 EESSSPVDEY GBC, RCC 27 GETCVRITY MEL 28 QEFPAHSL CLL 29TENPKKFKI MEL 30 EEFCFSVRF AML 31 MESAKETRY BRCA, UEC 32 REYEYDLKW AML33 IEYENQKRL AMI 34 AEPPILYSEY UEC 35 RELVHMINW BRCA, UEC 36 LEQASRIWSWMEL 37 IEQGRVVLW GBC, NHL 38 DEVRFFKGNKY OSCAR 39 AEAMGKFKQCF UEC 40REVDPDDSYVF MEL 41 EENTGKTYF HNSCC, OSCAR 42 SEENTGKTYFHNSCC, NSCLCsquam, OSCAR 43 SEKIVYVY HCC 44 SEFGAPRW CCC 46 SELGLPKEVHNSCC 47 TEVHSSPAQRW NHL, UBC 48 DEVRALIF HCC 49 SEYVHSSF BRCA 50SEYVHSSFSGF NSCLCadeno 51 VEMTGKHQL AML 52 EDNPSGHTY GBC, NHL 53KEDNPSGHTY NHL 54 QEISAHRTEF CLL 55 TEFHMQFSY CLL 56 ALEEGGGYIF HCC 57SEATHIITI AML, PACA 58 KEMDPSRQSY HCC 59 AEIEADRSYQ HNSCC 60 EEAVRSVAFCLL, NHL 61 AEYSVHKI PACA 62 AEYSVHKITSTF HNSCC 63 YEQVLFGF CLL 64EEYQDSFERY HNSCC, OSCAR 65 SESMVESKF MEL, NSCLCadeno 66 AEVTLNNTINSCLCadeno 67 TEGAVEVKY HCC 68 NEIDIHSIYF OSCAR 69 DENIQKFIW HNSCC, UBC70 AEAEEAMKRL HNSCC 71 AEVGDIIKV NSCLCadeno, PACA 72 AEVGDIIKVHF HCC 73GEGTLRLSW MEL 75 LETSCGSSTAY NSCLCadeno 76 RLNEHPSNNW PACA 77 QETLAESTWNHL 78 TEFSNHINL BRCA 79 TEAQRLDCW MEL 80 TEQSLYYRQW MEL 81 GEKATMQNLNSCLCsquam, UBC 82 AVFDESKSW HCC, OSCAR 83 TEGGTQKTFCCC, HCC, NHL, OSCAR 84 AETSYVKVLEY GBC 89 KEFYPVKEF OC 92 KEPSQSCIAQYOSCAR 93 SEAGLTANQY NHL 94 SLAELIAKDW CCC, HCC, UBC, UEC 95 AAFEDAQGHIWPACA 96 MDELEEGESY NHL 97 ELVHMINW BRCA 98 SEESAGPLL BRCA 99 SECVKSLSFBRCA 100 QGDVVDYSFY AML 101 SEENTGKTY OSCAR 102 TELADLDAAW OC 103AELFLTKSF HNSCC, NSCLCsquam 104 EVHSSPAQRW UBC 106 SVISDSPRSW OSCAR 107YQENPRAAW MEL, PACA 108 QETNKVETY OSCAR 109 AFSPAAGNTW CCC 110EVEVGEVKSW HCC 112 AEIEADRSYQH HNSCC, OSCAR 113 MEFKTLNKN MEL 115QEPFTRPVL NSCLCsquam 118 SEVPVDSHYY GBC 120 VTEGAVEVKYAML, BRCA, CRC, NSCLCadeno, OC 121 YENIPVDKV MEL 122 GESVSWHLF HNSCC 123DEINHQSL NHL 126 SEASQSPQY UEC 128 TELTEARVQVW MEL 129 EEAMKRLSYHNSCC, OSCAR 131 RESHLTEIRQY BRCA, PRCA 133 IEAPKLMVVHNSCC, MEL, NSCLCadeno 134 IEIKDRLQL CLL 135 QEIDRGQYI MEL 136 EEMPEEIHLHNSCC, OSCAR 137 EKGLISAF SCLC 138 KEAPNIVTL BRCA 139 AESDFSNNML MEL 141SEKWFRMGF AML 142 QELFLHPVL NHL 143 HEIIIRSHW CRC, HCC, UEC 144IEAYLERIGY BRCA 145 EELRMLSF CLL 146 MEELRMLSF CLL 147 RMLSFQQMTW NHL148 KESDAGRYY CLL, NHL 149 AETEPERHLG CLL 151 TELQIPSF RCC 152 HENLIEDFHCC, OSCAR 153 IEIILLSGSL PACA 155 TEDARHPESW CLL, NHL 156 DAIPPPTLTWUBC 158 VEEERYTGQW UBC 159 EEVQDGKVI CCC, HNSCC, NSCLCadeno, OSCAR, PACA160 AEIATTGQLY GBM, MEL 161 GESSEVKAVL AML 162 EAYDIELNKW OSCAR, UBC 164DEDGKIVGY HCO 165 EEIEAHIAL AML, CCC 166 EEQDFINNRY GBM 167 AETENRYCVPACA 168 EEGPSVPKIY CLL, NHL 169 KEHNSSVPWSS RCC 171 WEVVHTVFGC, NSCLCsquam, OSCAR 172 RENPGMFSW MEL 174 DENDAGNLITF OSCAR 175NLKSPIPLW GBM, MEL, PACA, UBC 176 GETQQHIQL NSCLCsquam 177 LEEPMPFFYOSCAR 178 MEGAALLKIF PACA 179 EEHIFSAF NHL, NSCLCsquam, OSCAR 180EEHSSKLQTSL UBC 181 HEVAQDDHL UBC 182 EELHAALSEW CRC, GBC, GC 183KEMQVTISQQL NSCLCadeno 184 EEQLLQKVM AML 185 TEANVQALF CLL, NHL 186EEIFAHLGL AML 187 TEQALRLSV PACA 188 AEFVPKADLL NSCLCsquam 191 AEHDMKSVLNHL 192 LEIMTNLVTL BRCA 195 MEIKGTVTEF GBC 196 TELEVKIRDWBRCA, GBC, HNSCC, NSCLCadeno, NSCLCsquam, OSCAR, PACA, UBC 197 NEILTIHFBRCA, GC, HCC, NSCLCadeno, NSCLCsquam, OSCAR 198 REEEANVVLCCC, HCC, NSCLCsquam, UBC 199 AELPENLKALF HNSCC 200 KELSVFKKF CLL, NHL203 REILHAQTL CLL, NHL 204 YERPTLVEL AML, CLL 206 SEDPEKYYLCCC, NSCLCsquam 207 LEGGGRGGEF BRCA, OSCAR 208 SEFLLRIF BRCA 209AEGEPPPAL UBC 210 AEGEPPPALAW NHL, UBC 211 LEMLDAHRL BRCA 213 DEDLFHKLOSCAR 215 SAMWIQLLY MEL 216 AGSPVMRKW NSCLCsquam 217 EVEVGDRTDW UEC 218REAEEKEAQL CLL 219 WEVEVGDRTDW CLL, MEL, NHL, NSCLCadeno, RCC 221KEAFGPQAL NSCLCsquam 223 SEVEGLAFV NSCLCadeno, PACA 225 VEAATVSKWBRCA, CCC, CRC, GBC, HNSCC, MEL, NSCLCadeno, OC, OSCAR, RCC, SCLC, UEC227 ALTEDSIDDTF GBM 229 AEDLEKKYA CCC, CLL, MEL, PACA, UEC 230 AEALVDGKWUBC 231 AEALVDGKWQEF UBC 232 YEIRAEAL UBC 233 QEDKATQTL CLL 234TEEPQRLFY BRCA, HCC, MEL, NSCLCadeno, OC, OSCAR, RCC 236 LEDQLKPMLEW MEL237 QEIGQKTSV MEL 238 VEDDNYKLSL BRCA, CLL 239 DEDYTYLIL CCC 240MELQVSSGF CLL 241 QELLDIANYL CCC, HCC 242 CDAQIQYSY AML 243 VEQINISQDWCRC, HNSCC 244 VESSQAFTW HNSCC 245 MEFQGPMPAGM NSCLCsquam 246 HEHGLFNLYMEL 247 KESMLKTTL HCC 248 KESQLPTVMDF HCC 249 YEMAIYKKY MEL, PRCA 251DESADSEPHKY NHL 252 EEFIGKIGI AML, BRCA, CCC, CLL, CRC, GBC, GC, HCC,HNSCC, MEL, NHL, NSCLCadeno, NSCLCsquam, OC,OSCAR, PACA, PRCA, RCC, SCLC, UBC, UEC 253 QEILHGAVRFCCC, CRC, GBC, GBM, GC, HCC, HNSCC,NSCLCadeno, NSCLCsquam, OSCAR, PRCA, RCC, UBC 254 QEVAGYVLI NSCLCadeno255 KQWEYNEKLAF GBM 256 RLLPGKVVW PACA 258 IEVSSPITLCCC, HCC, NSCLCadeno 259 IEVSSPITLQAL CCC, NSCLCadeno, OC 260 VELMFPLLLBRCA 261 QEWDPQKTEKY CCC, UEC 262 YENILNAI GC 264 RELIKAIGL BRCA 265EDNLIHKF GBC, HNSCC, OC, PACA 266 EEEDRDGHTW GBC, UBC 267 VELEVPQLGC, HCC 268 EDLAVHLY CLL 269 SEDLAVHL CLL 270 VLRPPGSSW UBC 271REDLVGPEV CLL 272 SEQNIQRANLF CCC, HCC 273 TEFELLHQV GC 274 DEIDKLTGYGC, HCC, PRCA 275 GEQPPEGQW CLL 277 VEFPATRSL AML 278 DQVTVFLHF UBC 279GEPVTQPGSLL CLL 280 AAEPLVGQRW RCC 281 HEIPQESL NSCLCsquam, OSCAR 282KEFGIGDLVW AML, HNSCC, OSCAR 283 VEEEISRHYBRCA, CCC, CLL, CRC, GBC, HCC, HNSCC, MEL,NSCLCadeno, NSCLCsquam, OC, OSCAR, PACA, PRCA, RCC, UBC, UEC 284SQYPHTHTF CLL 286 DELSVGRY CRC, OSCAR, PRCA 287 REVSVVDIL HCC 288TEHFLKKFF HCC 289 NRYINIVAY GBM 290 AECILSKRL BRCA, HNSCC 291 DEQLLLRFCRC, OSCAR 292 HELALRQTV OSCAR 293 QEDEQLLLRF CRC, OSCAR 294 EEWEWIQKLGBM, HCC, PACA, UEC 295 QELEQEVISL CLL 296 AETIFIVRL OC 297 DEYLIPQQGFFGC, HCC, NSCLCadeno, NSCLCsquam, OSCAR 298 KEVASNSEL NSCLCsquam 299AEVQIARKL CLL, CRC, GBC, HCC, MEL, NHL, NSCLCadeno, OC, OSCAR, RCC, UEC300 KQTEATMTF CCC 301 AERIMFSDL OSCAR 302 EGEDAHLTQY NSCLCsquam 303GEDAHLTQY HNSCC, NSCLCsquam 304 RELGFTEATGWCCC, CRC, GBC, MEL, NHL, NSCLCadeno, NSCLCsquam, OSCAR, RCC, UBC, UEC305 AEKNRRDAETW HNSCC, NSCLCsquam, OSCAR, UBC 306 RRHPSFKRF GBC 307YEQLLKVVTW CRC, NHL, UBC, UEC 308 EEPKIDFRVYBRCA, CCC, CRC, HNSCC, MEL, NSCLCadeno,NSCLCsquam, OC, OSCAR, PACA, PRCA, RCC 309 SDDLRNVTW BRCA, NSCLCadeno310 FELECPVKY CLL, NSCLCsquam 312 KEWEREKAVSL UBC 313 EEINQGGRKYCLL, CRC, NHL, NSCLCadeno, NSCLCother, NSCLCsquam 314 EMREERKFNSCLCadeno, NSCLCsquam 315 MEQQSQEY OSCAR 316 RLWPEPENW GBM 317TEFQQIINL CLL 318 SESSSFLKV PACA 319 YEWEPFAEV NSCLCadeno 320 AENPLNIFYCCC, GBM, NHL, NSCLCsquam 321 AENPLNIFYI AML, NHL, NSCLCsquam 322REESDWHYL BRCA 323 SETAVVNVTY GBC, NSCLCadeno 324 QELSSIRQF NHL 325AEQEIMKKV GBC 326 RELLDFSSW CRC, MEL, UBC, UEC 327 SEQHSLPVF NSCLCsquam328 HENGVLTKF NSCLCadeno, NSCLCsquam 329 SEPQITVNF BRCA, GBC 330SEHLFGTSY GC 331 KELEATKQYL NSCLCsquam, OSCAR 332 SEADWLRFWAML, BRCA, CCC, CLL, CRC, HCC, HNSCC, MEL,NHL, NSCLCadeno, NSCLCsquam, OC, OSCAR, PACA, PRCA, RCC, UBC, UEC 333SEGTLPYSY GC, NSCLCsquam, OSCAR 334 LEWQNSSSM NHL 335 SETPTLQGL HCC 336QEVNISLHY BRCA, CRC, HNSCC, NSCLCsquam, OSCAR 337 VEVIPEGAML CLL 338AEMKFYVVI NHL, OC 339 NEVKEIKGY OC 340 GELAPSHGL PRCA 341 HELESENKKWAML, NHL, NSCLCsquam, OSCAR 342 SENKKWVEF CLL, CRC, NHL, NSCLCsquam 343SEFDLEQVW HNSCC, NHL, NSCLCsquam 344 DEIRVFGY HCC 345 AEYQAAILHL MEL 346EEIENLQAQF MEL 347 LENPHVQSV AML 348 SEVLLTSISTF NSCLCadeno 349LEWQHPSSW AML 350 EEMLENVSL CCC, HCC 351 EEGRVYVYGC, NSCLCsquam, OSCAR, PRCA 352 QEDELVKIRKYBRCA, CCC, CRC, HCC, MEL, NHL, NSCLCadeno,NSCLCsquam, OC, OSCAR, PACA, PRCA, RCC, SCLC, UEC 353 AETEEGIYW HNSCC354 TEIMEKTTL CCC 355 SETSTGTSV NSCLCadeno, PACA 356 TEAVLNRYGC, NSCLCsquam, OSCAR 357 AELMDKPLTF CRC, NSCLCadeno 358 TEFHGGLHYBRCA, CRC, GC, HCC, HNSCC 359 NEFRRKLTF SCLC 360 DEMENLLTYBRCA, CLL, HCC, NHL, NSCLCsquam, OSCAR, PRCA, UEC 361 EDASLMGLY GBM 362SEVEYINKY OC 363 EECDKAFHF BRCA, CCC, CLL, CRC, GC, HNSCC, NHL,NSCLCadeno, NSCLCsquam, OC, OSCAR, PACA, RCA, UBC 364 EECDKAYSFBRCA, CCC, CLL, CRC, GC, HCC, HNSCC, NHL,NSCLCadeno, NSCLCsquam, OC, OSCAR, PACA, PRCA, RCC, UBC, UEC 365NESGKAFNY BRCA, CCC, CLL, CRC, GBM, GC, HCC, HNSCC,MEL, NHL, NSCLCadeno, NSCLCsquam, OC, OSCAR, PACA, PRCA, RCC, UBC, UEC366 EECGKAFKKF CLL 367 TEFAVKLKI NSCLCadeno 368 KEKVPGITIAML, MEL, NSCLCadeno, NSCLCsquam, OSCAR, PACA 369 KELEERMLHWHNSCC, MEL, NHL, NSCLCadeno 370 EEVLLANALW CLL, CRC, HCC, NHL, UBC 371NEIGQELTGQEW BRCA, CCC, CRC, GBM, HCC, HNSCC, MEL,NSCLCadeno, NSCLCsquam, OC, OSCAR, PACA, PRCA, RCC 372 EEYKFPSLFBRCA, CLL, CRC, OC 373 REDPIVYEI MEL, NSCLCadeno, UBC 374 NEAEWQEIL CLL375 HEATFGEKRF CCC, GBC, HNSCC, NSCLCsquam, OC, OSCAR, PACA, PRCA, UEC378 QELFLQEVRM BRCA, CRC, HCC, HNSCC, MEL, NSCLCadeno,NSCLCsquam, OC, OSCAR, PRCA 379 AENRVGKMEA CLL 380 EECGKAFRVFCLL, CRC, NHL 381 QELMAFSFAGL OSCAR 382 SELNPLALY HNSCC 383 EEMERDLDMYCLL, MEL, NHL, NSCLCsquam, UEC 384 LDGIPTAGW CLL, NHL 385 LEHPFLVNLWCLL, RCC 387 GEVQENYKL NSCLCsquam 388 VEIVTIPSL CLL, UEC 389 DEQRRQNVAYCRC, MEL, OSCAR 390 GEYNKHAQLW OC 391 TESIGAQIY OC 392 TEVSVLLLTF OC 393SETILAVGL BRCA, CLL, HCC, NSCLCsquam 394 SEILRVTLYAML, CRC, HCC, NSCLCadeno, NSCLCsquam, OC, PACA 395 AEDFVWAQWCLL, CRC, HCC, NHL, NSCLCsquam 396 MELLFLDTF CLL, NHL 397 EECGKAFSVF CLL398 AEIIRYIF AML 399 IEQADWPEI NSCLCadeno 400 TELGLFGVWHNSCC, NSCLCadeno 401 VENIFHNFBRCA, GC, HCC, MEL, NSCLCadeno, NSCLCsquam, OSCAR 402 IETSSEYFNFBRCA, CRC, HNSCC, NHL, NSCLCadeno, NSCLCsquam, OSCAR, PACA, UBC, UEC 403QESVHVASY AML, BRCA, CLL, GBM, NHL, PACA, UEC 404 AEREQVIKL AML 405YEHAFNSIVW RCC 407 MEFQNTQSY BRCA, CLL, GC, HNSCC, MEL, NHL, NSCLCadeno,NSCLCsquam, OSCAR 408 AFSLLSAAFY NSCLCsquam 409 QEAKPRATWBRCA, CCC, CLL, CRC, GBC, GC, HCC, NHL,NSCLCadeno, NSCLCsquam, PRCA, UBC 410 RELEEEFYSL CLL 411 AERDLNVTINSCLCadeno, PACA 412 EESFDSKFYCLL, CRC, HNSCC, NHL, NSCLCadeno, NSCLCsquam, PACA 414 AEGYLDLDGINSCLCadeno 415 EEAGFPLAY HNSCC 416 DELMRKESQWCLL, CRC, MEL, NHL, NSCLCsquam, UBC, UEC 417 EESFRCLPEW NHL 418GEPRKLLTQDW HNSCC, NSCLCadeno 419 SELSLLSLY PRCA 420 MEVDPIGHVYNSCLCsquam 421 TEDYSKQAL CCC, NSCLCsquam, UBC 422 EEAQWVRKYFCLL, CRC, NHL, UBC 423 KEAINLLKNY BRCA, CLL, HNSCC, NHL 424 EEHVYESIIRWCLL, CRC, NHL 425 KEVDPASNTY OSCAR 426 AESLFREAL HNSCC, NSCLCsquam 427AEMLGSVVGNW NSCLCadeno 429 RETEDYSKQAL CCC, NSCLCsquam 430 RELARVVTLSCLC 431 QELLDFTNW SCLC 432 TEENGFWYL BRCA 433 AEEGPSVPKIY CLL, NHL 434AEQQQQQMY NHL 435 FETEQALRL NSCLCadeno, NSCLCsquam, PACA, UBC 436AEADLSYTWDF MEL 437 HEDPSGSLHL BRCA, UBC 438 AELDSKILALBRCA, NSCLCsquam, OC 439 VEVGDRTDW NHL 440 QEVAQVASA HNSCC 441QEVAQVASAIL CCC, NSCLCsquam, UBC 442 KESDAGKYY CLL 443 EEYAGQITL CLL 444SESALQTVI CCC, NSCLCadeno, UBC 445 QEVGEITNL CCC, NSCLCsquam, UBC 446AENIKKFLY CRC, HCC, MEL, NSCLCsquam, PRCA, RCC 447 KEFGLDSVEL CCC, HCC448 ALSPVPSHW CLL, NHL 449 RENDFEPKF NHL 450 REIENGNSFAML, CRC, GBC, HNSCC, NSCLCadeno, NSCLCsquam, PACA 452 NEVDGEYRYBRCA, CCC, CRC, GBC, GC, HCC, HNSCC, MEL,NHL, NSCLCadeno, NSCLCsquam, OC, OSCAR, PACA, PRCA, RCC, UBC, UEC 453SESKVFQLL BRCA, CCC, CRC, HCC, HNSCC, NHL, NSCLCadeno,NSCLCsquam, OSCAR, PACA 454 SESSSAFQF MEL, NHL 455 QESVHVASYYWCLL, UBC, UEC 456 SESPIRISV NSCLCsquam, OSCAR, PACA

Example 2 Expression Profiling of Genes Encoding the Peptides of theInvention

Over-presentation or specific presentation of a peptide on tumor cellscompared to normal cells is sufficient for its usefulness inimmunotherapy, and some peptides are tumor-specific despite their sourceprotein occurring also in normal tissues. Still, mRNA expressionprofiling adds an additional level of safety in selection of peptidetargets for immunotherapies. Especially for therapeutic options withhigh safety risks, such as affinity-matured TCRs, the ideal targetpeptide will be derived from a protein that is unique to the tumor andnot found on normal tissues.

RNA Sources and Preparation

Surgically removed tissue specimens were provided as indicated above(see Example 1) after written informed consent had been obtained fromeach patient. Tumor tissue specimens were snap-frozen immediately aftersurgery and later homogenized with mortar and pestle under liquidnitrogen. Total RNA was prepared from these samples using TRI Reagent(Ambion, Darmstadt, Germany) followed by a cleanup with RNeasy (QIAGEN,Hilden, Germany); both methods were performed according to themanufacturer's protocol.

Total RNA from healthy human tissues for RNASeq experiments was obtainedfrom: Asterand (Detroit, Mich., USA & Royston, Herts, UK); Bio-OptionsInc. (Brea, Calif., USA); Geneticist Inc. (Glendale, Calif., USA);ProteoGenex Inc. (Culver City, Calif., USA); Tissue Solutions Ltd(Glasgow, UK). Total RNA from tumor tissues for RNASeq experiments wasobtained from: Asterand (Detroit, Mich., USA & Royston, Herts, UK);BioCat GmbH (Heidelberg, Germany); BioServe (Beltsville, Md., USA);Geneticist Inc. (Glendale, Calif., USA); Istituto Nazionale Tumori“Pascale” (Naples, Italy); ProteoGenex Inc. (Culver City, Calif., USA);University Hospital Heidelberg (Heidelberg, Germany).

Quality and quantity of all RNA samples were assessed on an Agilent 2100Bioanalyzer (Agilent, Waldbronn, Germany) using the RNA 6000 PicoLabChip Kit (Agilent).

RNAseg Experiments

Gene expression analysis of—tumor and normal tissue RNA samples wasperformed by next generation sequencing (RNAseq) by CeGaT (Tubingen,Germany). Briefly, sequencing libraries are prepared using the IlluminaHiSeq v4 reagent kit according to the provider's protocol (IlluminaInc., San Diego, Calif., USA), which includes RNA fragmentation, cDNAconversion and addition of sequencing adaptors. Libraries derived frommultiple samples are mixed equimolar and sequenced on the Illumina HiSeq2500 sequencer according to the manufacturer's instructions, generating50 bp single end reads. Processed reads are mapped to the human genome(GRCh38) using the STAR software. Expression data are provided ontranscript level as RPKM (Reads Per Kilobase per Million mapped reads,generated by the software Cufflinks) and on exon level (total reads,generated by the software Bedtools), based on annotations of the ensemblsequence database (Ensembl77). Exon reads are normalized for exon lengthand alignment size to obtain RPKM values.

Exemplary expression profiles of source genes of the present inventionthat are highly over-expressed or exclusively expressed in acute myeloidleukemia, breast cancer, cholangiocellular carcinoma, chroniclymphocytic leukemia, colorectal cancer, gallbladder cancer,glioblastoma, gastric cancer, hepatocellular carcinoma, head and necksquamous cell carcinoma, melanoma, non-Hodgkin lymphoma, lung cancer(including non-small cell lung cancer adenocarcinoma, squamous cellnon-small cell lung cancer, and small cell lung cancer), ovarian cancer,esophageal cancer, pancreatic cancer, prostate cancer, renal cellcarcinoma, urinary bladder carcinoma, uterine and endometrial cancer areshown in FIGS. 2A-2U. Expression scores for further exemplary genes areshown in Table 9.

TABLE 9Expression scores. The table lists peptides from genes that are very highly over-expressed in tumors compared to a panel of normal tissues (+++), highly over-expressed intumors compared to a panel of normal tissues (++) or over-expressed in tumors compared to apanel of normal tissues (+).The baseline for this score was calculated from measurements ofthe following relevant normal tissues: adipose tissue, adrenal gland, bile duct, blood cells,blood vessels, bone marrow, brain, esophagus, eye, gallbladder, heart, head&neck, kidney,large intestine, liver, lung, lymph node, nerve, parathyroid, pancreas, pituitary, skeletalmuscle, skin, small intestine, spleen, stomach, thyroid gland, trachea, urinary bladder. Incase expression data for several samples of the same tissue type were available, thearithmetic mean of all respective samples was used for the calculation.Gene Expression in tumor samples Seq ID highly very highly over- NoSequence over-expressed (+) over-expressed (++) expressed (+++) 1KEVDPASNTYTL BRCA, CRC, GC, HCC, NSCLCadeno GBC, HNSCC, UEC MEL,NSCLCsquam, OC, OSCAR, SCLC, UBC 2 EEFLRPRSL CLL PRCA 3 DEIFTNDRRW UECGBM, MEL, SCLC PRCA 4 AEALGAAKKL GBC, OC UEC NSCLCadeno, OSCAR 5VEFLLLKY BRCA, GBC, HCC, MEL NSCLCadeno, NSCLCsquam, SCLC 6 AELVGPVIPQDWPRCA 7 SESDLVNFI GBM, MEL PRCA 8 ELMEVDPIGHLY CRC, NHL, OC,GBC, NSCLCadeno, GC, HCC, PACA UEC HNSCC, MEL, NSCLCsquam, OSCAR, SCLC,UBC 9 MEVDPIGHLYIF CRC, NHL, OC, GBC, NSCLCadeno, UECOSCAR, SCLC, GC, HCC, PACA HNSCC, MEL, NSCLCsquam, UBC 10 SEYPTKNYVHCC, HNSCC, CCC, GC, GBC, NSCLCsquam, NSCLCadeno NSCLCother, OCOSCAR, PACA, UEC 11 EENIVAIGI MEL GBM PRCA 12 KEVDPTGHSF HCC, UECGBC, GC, HNSCC, MEL, UBC NSCLCadeno, NSCLCsquam, OC, OSCAR, SCLC 13VEAQDRETW NSCLCadeno, RCC NSCLCsquam, SCLC 14 EMPGGPVW HCC, RCCCCC, GBC, GC, CRC, HNSCC, MEL, NHL, NSCLCother, NSCLCadeno, OC,NSCLCsquam, OSCAR, PACA, SCLC UBC, UEC 15 MEAELVRRI GC, HNSCC,HCC, MEL, SCLC GBC NSCLCsquam, OC, UBC 16 NESDRLVYF GBC, GBM, MEL, CLLNHL OC, UBC 17 SEIYQPRGF GBC, GBM, MEL, CLL NHL OC, UBC 18 QEAPRPASSLHCC, MEL, CRC, GBC, GC, PACA NSCLCother, HNSCC, BRCA, CCC, RCC, SCLCNSCLCadeno, NSCLCsquam, OC, OSCAR, UBC, UEC 19 MEHSDENIQFW PACA NHL 20LEALLSDLF PRCA 21 SEAKEIKSQL BRCA 22 TEEITEGVW AML 23 REYNLHRVACRC, GC, MEL, HNSCC, NSCLCadeno, NSCLCsquam, PACA OSCAR, UBC 24EELALRIGL NSCLCother GBM, SCLC 25 SEKEPGQQY GBC HCC 26 EESSSPVDEYBRCA, GBC, HCC, MEL SCLC 27 GETCVRITY MEL 28 QEFPAHSL NHL CLL 29TENPKKFKI HCC, OC CCC, NSCLCadeno 30 EEFCFSVRF AML 31 MESAKETRYBRCA, OC, UEC 32 REYEYDLKW AML 33 IEYENQKRL AML 34 AEPPILYSEYBRCA, OC, UEC 35 RELVHMINW BRCA, OC, UEC 36 LEQASRIWSW MEL 37 IEQGRVVLWHCC, OSCAR, GBC, SCLC UBC 38 DEVRFFKGNKY CRC, GC, HNSCC, NSCLCadeno,NSCLCsquam, PACA, UBC OSCAR 39 AEAMGKFKQCF OC, UEC 40 REVDPDDSYVF SCLCHCC, MEL 41 EENTGKTYF CRC, GC, HNSCC, NSCLCadeno, NSCLCsquam, PACA, UBCOSCAR 42 SEENTGKTYF CRC, GC, HNSCC, NSCLCadeno, NSCLCsquam, PACA, UBCOSCAR 43 SEKIVYVY GBC, OC, SCLC, HCC, MEL, NHL UBC 44 SEFGAPRW HCC, PRCA45 EEINELNRMI HNSCC, BRCA, GBC, MEL, NSCLCother, NSCLCadeno, OC,NSCLCsquam, UBC PACA, SCLC 46 SELGLPKEV NSCLCadeno, HNSCC, UBCNSCLCsquam, OSCAR 47 TEVHSSPAQRW AML, CCC, GC, UBC HCC, NHL, OC,PACA, UEC 48 DEVRALIF MEL AMI 49 SEYVHSSF CRC, BRCA, CCC, GBC,NSCLCsquam, GC, HNSCC, OC, UBC, UEC NSCLCadeno, OSCAR, PACA 50SEYVHSSFSGF CRC, BRCA, CCC, GBC, NSCLCsquam, GC, HNSCC, OC, UBC, UECNSCLCadeno, OSCAR, PACA 51 VEMTGKHQL AML 52 EDNPSGHTY BRCA, MEL,GBC, HCC, NHL NSCLCadeno, NSCLCsquam, OC, SCLC 53 KEDNPSGHTY BRCA, MEL,GBC, HCC, NHL NSCLCadeno, NSCLCsquam, OC, SCLC 54 QEISAHRTEF NHL CLL 55TEFHMQFSY NHL CLL 56 ALEEGGGYIF BRCA, GBC, CRC, OC GBM, GC, HNSCC, MEL,NSCLCadeno, NSCLCother, OSCAR, PACA, UBC, UEC 57 SEATHIITI AML 58KEMDPSRQSY HCC 59 AEIEADRSYQ GBC, GC, CCC, HNSCC, NSCLCadeno,NSCLCsquam, NSCLCother, OSCAR, UBC PACA 60 EEAVRSVAF CLL NHL 61 AEYSVHKIGBC, GC, CCC, HNSCC, NSCLCadeno, NSCLCsquam, NSCLCother, OSCAR, UBCPACA, UEC 62 AEYSVHKITSTF GBC, GC, CCC, HNSCC, NSCLCadeno, NSCLCsquam,NSCLCother, OSCAR, UBC PACA, UEC 63 YEQVLFGF UEC PRCA 64 EEYQDSFERYGBC, MEL, SCLC OSCAR HNSCC, NSCLCsquam, 65 SESMVESKF MEL 66 AEVTLNNTINHL CLL 67 TEGAVEVKY CCC MEL 68 NEIDIHSIYF NSCLCother, HNSCC OSCAR 69DENIQKFIW NSCLCother, HNSCC OSCAR 70 AEAEEAMKRL CCC, GC, HNSCC,NSCLCadeno, NSCLCsquam, NSCLCother, OSCAR PACA, UBC 71 AEVGDIIKV CCC HCC72 AEVGDIIKVHF CCC HCC 73 GEGTLRLSW MEL 74 AELEGALQKA BRCA, GBC, MELNSCLCadeno, UBC NSCLCsquam, OC, SCLC 75 LETSCGSSTAY MEL 76 RLNEHPSNNWGC, NSCLCadeno, CCC, HNSCC, NSCLCother, NSCLCsquam, PACA, UBC OSCAR 77QETLAESTW AML, HNSCC, HCC, NHL NSCLCsquam 78 TEFSNHINL HCC, OC, SCLC,BRCA, PRCA UEC 79 TEAQRLDCW MEL 80 TEQSLYYRQW BRCA, HCC, MEL PRCAOC, SCLC, UEC 81 GEKATMQNL NSCLCsquam, HNSCC, OSCAR UBC 82 AVFDESKSW CCCHCC 83 TEGGTQKTF CCC HCC 84 AETSYVKVLEY BRCA, CCC, OC, GBC, GC, HNSCC,HCC, MEL, UBC NHL, NSCLCadeno, NSCLCsquam, SCLC OSCAR 85 SEIDEKVTDL HCC,GBC, GC, HNSCC, MEL, UBC NSCLCadeno NSCLCsquam, OC, OSCAR, SCLC 86QTLKAMVQAW AML, BRCA, GC, GBC, HNSCC, MEL, OC, SCLC, HCC, NHL,NSCLCadeno, UEC OSCAR, UBC NSCLCsquam, RCC 87 GEARGDQVDW CCC, GBC, GBM,GC, HNSCC, HCC, MEL, SCLC NHL, OC, PACA NSCLCadeno, NSCLCsquam,OSCAR, UBC 88 KEFTVSGNIL GC, HNSCC, HCC, OC, UBC GBC, MEL, SCLC NHL,NSCLCadeno, NSCLCsquam, UEC 89 KEFYPVKEF OC BRCA 90 EESLLSSWGC, NSCLCadeno, HCC, HNSCC, GBC, SCLC MEL, NHL, NSCLCsquam NSCLCother,OSCAR, PACA 91 EESLLSSWDF GC, NSCLCadeno, HCC, HNSCC, GBC, SCLCMEL, NHL, NSCLCsquam NSCLCother, OSCAR, PACA 92 KEPSQSCIAQY GBM,HNSCC, OSCAR NSCLCadeno, NSCLCsquam, OC, RCC, UBC, UEC 93 SEAGLTANQYCRC, GBM, MEL, HCC, NHL NSCLCadeno, RCC, SCLC 94 SLAELIAKDWCRC, GBM, MEL, HCC, NHL NSCLCadeno, RCC, SCLC 95 AAFEDAQGHIWHCC, OC, RCC, BRCA, CCC, CRC, SCLC GBC, GC, HNSCC, NSCLCadeno,NSCLCsquam, OSCAR, PACA, UBC, UEC 96 MDELEEGESY GBM, SCLC 97 ELVHMINWBRCA, OC, UEC 98 SEESAGPLL BRCA UEC 99 SECVKSLSF UEC BRCA, PRCA 100QGDVVDYSFY HCC, OSCAR, GBC, SCLC UBC 101 SEENTGKTY CRC, GC, HNSCC,NSCLCadeno, NSCLCsquam, PACA, UBC OSCAR 102 TELADLDAAW AML, CCC,BRCA, GBC, HCC, HNSCC, NHL, MEL, NSCLCadeno, NSCLCother, OC, SCLCNSCLCsquam, OSCAR, PACA, UBC, UEC 103 AELFLTKSF NSCLCadeno, HNSCC, UBCNSCLCsquam, OSCAR 104 EVHSSPAQRW AML, CCC, GC, UBC HCC, NHL, OC,PACA, UEC 105 EEIFKTLNY AML 106 SVISDSPRSW NHL CLL 107 YQENPRAAW SCLCGBM, RCC 108 QETNKVETY CCC, HNSCC, NSCLCother, NSCLCsquam, UBCOSCAR, RCC 109 AFSPAAGNTW GBM 110 EVEVGEVKSW SCLC HCC 111 QEIDQKRLEFAML, BRCA, OC, SCLC GBC, HCC, MEL, NSCLCadeno 112 AEIEADRSYQH GBC, GC,CCC, HNSCC, NSCLCadeno, NSCLCsquam, NSCLCother, OSCAR, UBC PACA 113MEFKTLNKN GBM RCC 114 VEVNGVPRW CCC, OSCAR MEL 115 QEPFTRPVL NHL CLL 116AEANPRDLGASW GBC, HNSCC, HCC MEL, NSCLCadeno, SCLC 117 SEVPVDSHY CCC MEL118 SEVPVDSHYY CCC MEL 119 VEVKYEGHW CCC MEL 120 VTEGAVEVKY CCC MEL 121YENIPVDKV CRC, GBC, NHL, BRCA, GC, UBC, UEC HNSCC, MEL, NSCLCadeno,NSCLCsquam, OC, OSCAR, PACA 122 GESVSWHLF NSCLCother, HNSCC OSCAR 123DEINHQSL AML, BRCA, CLL, SCLC CCC, CRC, GBC, GBM, GC, HCC, HNSCC, MEL,NHL, NSCLCadeno, NSCLCother, NSCLCsquam, OC, OSCAR, PACA, UBC, UEC 124NENLDYAIL AML, BRCA, CLL, SCLC CCC, CRC, GBC, GBM, GC, HCC, HNSCC, MEL,NHL, NSCLCadeno, NSCLCother, NSCLCsquam, OC, OSCAR, PACA, UBC, UEC 125LEVLHQGQW CCC MEL 126 SEASQSPQY UEC 127 RYFDENIQKFIW NSCLCother, HNSCCOSCAR 128 TELTEARVQVW MEL 129 EEAMKRLSY CCC, GC, HNSCC, NSCLCadeno,NSCLCsquam, NSCLCother, OSCAR PACA, UBC 130 REYQEVMNSKL BRCA, GBC,NSCLCadeno, UBC MEL, NSCLCsquam, OC, SCLC 131 RESHLTEIRQY BRCA, HCC, OC,PRCA SCLC, UEC 132 AESFTSGRHYW BRCA, CCC, HNSCC, OSCAR, GBC, GBM, MEL,PACA NSCLCsquam, OC, RCC, UBC 133 IEAPKLMVV MEL 134 IEIKDRLQL CLL, NHL135 QEIDRGQYI MEL 136 EEMPEEIHL NSCLCother, HNSCC, OSCAR NSCLCsquam 137EKGLISAF BRCA, CRC, SCLC GBC, GC, HNSCC, MEL, NSCLCadeno, NSCLCsquam,OC, OSCAR, UBC 138 KEAPNIVTL HCC, OC, UEC BRCA, PRCA 139 AESDFSNNML MEL140 TEHSGIYSC NHL CLL 141 SEKWFRMGF AML 142 QELFLHPVL CLL, NHL 143HEIIIRSHW HCC 144 IEAYLERIGY BRCA 145 EELRMLSF CLL, NHL 146 MEELRMLSFCLL, NHL 147 RMLSFQQMTW CLL, NHL 148 KESDAGRYY CLL, NHL 149 AETEPERHLGPRCA 150 SEVFHVSEA GBM 151 TELQIPSF GBM 152 HENLIEDF CCC HCC 153IEIILLSGSL BRCA, HCC, GBC, OC, SCLC MEL, NSCLCadeno, UBC 154 NEAGEMIKHYNSCLCadeno MEL 155 TEDARHPESW NHL 156 DAIPPPTLTW MEL 157 SQDVAGTTF MEL158 VEEERYTGQW AML UBC 159 EEVQDGKVI NSCLCsquam, HNSCC, OSCAR UBC 160AEIATTGQLY GBM 161 GESSEVKAVL AML 162 EAYDIELNKW NHL CLL 163 AEDEDGKIVGYGBC, MEL HCC 164 DEDGKIVGY GBC, MEL HCC 165 EEIEAHIAL GBM, SCLC AML 166EEQDFINNRY GBM 167 AETENRYCV NSCLCsquam, HNSCC, OSCAR UBC 168 EEGPSVPKIYAML, CLL NHL, PRCA 169 KEHNSSVPWSS NHL, HNSCC, MEL NSCLCsquam,OC, OSCAR, SCLC 170 REMFVFKDQW BRCA GBM, MEL 171 WEVVHTVF MEL 172RENPGMFSW MEL 173 SEHSLEGQKF GBM 174 DENDAGNLITF GC, HNSCC, CRC, GBC,MEL, NSCLCadeno NSCLCother, NSCLCsquam, OC, OSCAR, PACA, UBC 175NLKSPIPLW GC, HNSCC, CRC, GBC, MEL, NSCLCadeno NSCLCother, NSCLCsquam,OC, OSCAR, PACA, UBC 176 GETQQHIQL MEL 177 LEEPMPFFY MEL, GBC, HNSCCNSCLCadeno, NSCLCother, NSCLCsquam, OC, OSCAR, UBC 178 MEGAALLKIFNSCLCsquam, UBC PRCA, UEC 179 EEHIFSAF NSCLCsquam NHL 180 EEHSSKLQTSLPRCA 181 HEVAQDDHL PRCA 182 EELHAALSEW CCC, GBC, GC CRC 183 KEMQVTISQQLCCC, GC PACA 184 EEQLLQKVM AML 185 TEANVQALF AML CLL, NHL 186 EEIFAHLGLAML 187 TEQALRLSV NSCLCsquam, HNSCC, OSCAR UBC 188 AEFVPKADLL MEL 189ALNGDIYVW NHL 190 NEAGEVSKHF MEL 191 AEHDMKSVL NHL CLL 192 LEIMTNLVTLPRCA BRCA 193 RELRPLFDRQW NHL CLL 194 TEGDVLNYIF NHL CLL 195 MEIKGTVTEFCCC, GC, BRCA, PRCA NSCLCsquam 196 TELEVKIRDW NSCLCsquam, HNSCC, OSCARUBC 197 NEILTIHF CCC HCC 198 REEEANVVL GBC, OC, OSCAR CCC PACA, UBC 199AELPENLKALF MEL, HNSCC, OSCAR NSCLCsquam 200 KELSVFKKF NHL CLL 201MEILWKTLT CLL 202 RELPLVLLA SCLC 203 REILHAQTL CLL 204 YERPTLVELAML, CLL, NHL PRCA 205 MEIEGAGNFL BRCA, CRC, GC, CCC, GBC HNSCC, MEL,NSCLCadeno, NSCLCother, NSCLCsquam, OSCAR, PACA, SCLC, UBC 206 SEDPEKYYLBRCA, CRC, GC, CCC, GBC HNSCC, MEL, NSCLCadeno, NSCLCother, NSCLCsquam,OSCAR, PACA, SCLC, UBC 207 LEGGGRGGEF MEL NHL 208 SEFLLRIF GC UEC 209AEGEPPPAL HCC, MEL, NHL, UBC OC, PACA, UEC 210 AEGEPPPALAWHCC, MEL, NHL, UBC OC, PACA, UEC 211 LEMLDAHRL OC BRCA, UEC 212SEASVYLFRF HCC, MEL, NHL, UBC OC, PACA, UEC 213 DEDLFHKL GC, HNSCC, CRCOSCAR, UBC 214 SVNPIIYGF GBC HCC 215 SAMWIQLLY MEL 216 AGSPVMRKW RCC 217EVEVGDRTDW NHL 218 REAEEKEAQL CLL 219 WEVEVGDRTDW NHL 220 EEEVFSGMKL GBM221 KEAFGPQAL GBM 222 SEDTIHTHL GBM 223 SEVEGLAFV GBM 224 TETDIDREY GBM225 VEAATVSKW GBM 226 AEDNMVTSY BRCA 227 ALTEDSIDDTF GBM 228 LEYEAPKLYAML 229 AEDLEKKYA GC UEC 230 AEALVDGKW UBC 231 AEALVDGKWQEF UBC 232YEIRAEAL UBC 233 QEDKATQTL AML, NHL CLL 234 TEEPORLFY AML, NHL CLL 235SESLPRAPL GBM, OC SCLC 236 LEDQLKPMLEW AML 237 QEIGQKTSV NSCLCother,NSCLCadeno NSCLCsquam 238 VEDDNYKLSL CLL 239 DEDYTYLIL HCC 240 MELQVSSGFNHL CLL 241 QELLDIANYL HCC 242 CDAQIQYSY NSCLCsquam HNSCC, OSCAR 243VEQINISQDW GC, HNSCC, CRC NSCLCsquam, OSCAR, UBC 244 VESSQAFTWNSCLCsquam HNSCC, OSCAR 245 MEFQGPMPAGM CCC, GBC, GC, OSCAR HNSCC,NSCLCadeno, NSCLCother, NSCLCsquam, PACA, UBC 246 HEHGLENLYBRCA, MEL, OC PRCA 247 KESMLKTTL HCC 248 KESQLPTVMDF HCC 249 YEMAIYKKYBRCA, MEL, OC PRCA 250 AELDHLASL NSCLCother 251 DESADSEPHKY NHL 252EEFIGKIGI NHL 253 QEILHGAVRF GBM 254 QEVAGYVLI GBM 255 KQWEYNEKLAF AML256 RLLPGKVVW UEC 257 HAIDGTNNW MEL, OC, UEC NSCLCsquam, RCC, SCLC 258IEVSSPITL HCC 259 IEVSSPITLQAL HCC 260 VELMFPLLL PRCA 261 QEWDPQKTEKYUEC 262 YENILNAI CCC, GBC, GC, OSCAR HNSCC, NSCLCother, NSCLCsquam,PACA, UBC 263 AEQLRGFNA CCC, GC, OSCAR HNSCC, NSCLCadeno, NSCLCsquam,PACA, UBC 264 RELIKAIGL BRCA UEC 265 EDNLIHKF BRCA, CCC, GBC NHL,NSCLCsquam, OC, OSCAR, SCLC, UBC, UEC 266 EEEDRDGHTW BRCA, CCC, GBC NHL,NSCLCsquam, OC, OSCAR, SCLC, UBC, UEC 267 VELEVPQL HCC 268 EDLAVHLY NHLCLL 269 SEDLAVHL NHL CLL 270 VLRPPGSSW NSCLCsquam, HNSCC OSCAR 271REDLVGPEV NHL CLL 272 SEQNIQRANLF HCC 273 TEFELLHQV GBC, GC CRC 274DEIDKLTGY PRCA 275 GEQPPEGQW AML, NHL CLL 276 SEYQDGKEF AML 277VEFPATRSL AML 278 DQVTVFLHF PRCA 279 GEPVTQPGSLL AML, NHL CLL 280AAEPLVGQRW CLL 281 HEIPQESL MEL BRCA 282 KEFGIGDLVW AML 283 VEEEISRHYBRCA 284 SQYPHTHTF CLL 285 AEHPDFSPCSF UEC AML 286 DELSVGRY UEC AMI 287REVSVVDIL HCC 288 TEHFLKKFF HCC 289 NRYINIVAY GBM 290 AECILSKRLAML, BRCA, SCLC GBC, GBM, HNSCC, MEL, NSCLCother, NSCLCsquam,OC, OSCAR, UEC 291 DEQLLLRF GC, HNSCC, CRC NSCLCsquam, OSCAR, UBC 292HELALRQTV HNSCC 293 QEDEQLLLRF GC, HNSCC, CRC NSCLCsquam, OSCAR, UBC 294EEWEWIQKL GBM HCC 295 QELEQEVISL AML, NHL, CLL PRCA 296 AETIFIVRL OC NHL297 DEYLIPQQGFF GBM 298 KEVASNSEL OSCAR HNSCC 299 AEVQIARKL AML, NHL CLL300 KQTEATMTF HCC 301 AERIMFSDL BRCA PRCA 302 EGEDAHLTQY NSCLCsquam,HNSCC, OSCAR UBC 303 GEDAHLTQY NSCLCsquam, HNSCC, OSCAR UBC 304RELGFTEATGW MEL 305 AEKNRRDAETW HNSCC 306 RRHPSFKRF CCC, GC, PACA CRC307 YEQLLKVVTW GBC, OC, UEC NHL 308 EEPKIDFRVY BRCA 309 SDDLRNVTW BRCA310 FELECPVKY NHL CLL 311 REKDLPNYNW NSCLCother 312 KEWEREKAVSL UBC 313EEINQGGRKY CLL, NHL CRC 314 EMREERKF CLL, NHL CRC 315 MEQQSQEY OSCARHNSCC 316 RLWPEPENW UBC GBM 317 TEFQQIINL CLL, NHL CRC 318 SESSSFLKVBRCA, CCC, NSCLCadeno CRC, GBC, GBM, GC, HNSCC, MEL, NSCLCother,NSCLCsquam, OSCAR, PACA, SCLC, UBC, UEC 319 YEWEPFAEV BRCA 320 AENPLNIFYGBM 321 AENPLNIFYI GBM 322 REESDWHYL BRCA, MEL, OC PRCA 323 SETAVVNVTYGC, HCC, GBC HNSCC, MEL, NHL, NSCLCadeno, NSCLCsquam, OC, OSCAR, SCLC324 QELSSIRQF NHL, OC 325 AEQEIMKKV GBC, HCC, HNSCC, MEL, NSCLCsquam 326RELLDFSSW CRC 327 SEQHSLPVF NSCLCadeno, NSCLCother, NSCLCsquam 328HENGVLTKF NSCLCadeno, NSCLCother, NSCLCsquam 329 SEPQITVNF MEL,NSCLCadeno, NSCLCsquam, OSCAR 330 SEHLFGTSY CCC, GBC, MEL,OC, RCC, SCLC, UEC 331 KELEATKQYL BRCA, CCC, CRC, GBC, GBM, GC, HNSCC,MEL, NHL, NSCLCadeno, NSCLCsquam, OSCAR, PACA, SCLC, UBC, UEC 332SEADWLRFW BRCA 333 SEGTLPYSY GBM 334 LEWQNSSSM CCC, GC, HNSCC, NHL,NSCLCadeno, NSCLCsquam, OSCAR, PACA 335 SETPTLQGL PRCA 336 QEVNISLHYAML, CCC, PACA, UEC 337 VEVIPEGAML SCLC 338 AEMKFYVVI NHL, OC 339NEVKEIKGY UEC 340 GELAPSHGL PRCA 341 HELESENKKW NHL 342 SENKKWVEF NHL343 SEFDLEQVW BRCA, CCC, GBC, GC, HNSCC, MEL, NHL, NSCLCadeno,NSCLCsquam, OSCAR, PACA, UBC, UEC 344 DEIRVFGY HCC 345 AEYQAAILHL MEL346 EEIENLQAQF MEL 347 LENPHVQSV CCC, NSCLCadeno, NSCLCsquam, OC, SCLC348 SEVLLTSISTF CCC, GBC, NSCLCadeno, RCC 349 LEWQHPSSW AMI 350EEMLENVSL HCC 351 EEGRVYVY AML, GC, NSCLCother 352 QEDELVKIRKY MEL 353AETEEGIYW HNSCC, NSCLCsquam, OSCAR 354 TEIMEKTTL MEL, NSCLCsquam,OC, SCLC, UEC 355 SETSTGTSV BRCA, CCC, CRC, GBC, GC, HNSCC, MEL,NSCLCadeno, NSCLCsquam, OSCAR, PACA, SCLC, UBC, UEC 356 TEAVLNRYBRCA, CCC, CRC, GBC, GC, HNSCC, MEL, NSCLCadeno, NSCLCsquam,OSCAR, PACA, SCLC, UBC, UEC 357 AELMDKPLTF BRCA, NHL, SCLC 358 TEFHGGLHYGBC, GC, PACA 359 NEFRRKLTF AML 360 DEMENLLTY BRCA, PRCA 361 EDASLMGLYSCLC 362 SEVEYINKY MEL 363 EECDKAFHF PRCA 364 EECDKAYSF PRCA 365NESGKAFNY PRCA 366 EECGKAFKKF CLL 367 TEFAVKLKI CCC, GBC, RCC 368KEKVPGITI SCLC 369 KELEERMLHW CCC, NHL, NSCLCadeno, PACA 370 EEVLLANALWBRCA 371 NEIGQELTGQEW RCC 372 EEYKFPSLF SCLC 373 REDPIVYEI CCC, GBC, RCC374 NEAEWQEIL CLL 375 HEATFGEKRF HNSCC, NSCLCsquam 376 SESDGIEQL HNSCC,NSCLCsquam 377 AEDARGWTA OC, UBC 378 QELFLQEVRM CLL 379 AENRVGKMEA GBM380 EECGKAFRVF CLL 381 QELMAFSFAGL SCLC 382 SELNPLALY BRCA, HNSCC,OC, OSCAR, UBC 383 EEMERDLDMY CLL 384 LDGIPTAGW CLL 385 LEHPFLVNLW MEL386 EESDYITHY BRCA, OC, PRCA 387 GEVQENYKL PRCA 388 VEIVTIPSL CLL 389DEQRRQNVAY OC, PACA, SCLC 390 GEYNKHAQLW UEC 391 TESIGAQIY UEC 392TEVSVLLLTF UEC 393 SETILAVGL NSCLCother, SCLC 394 SEILRVTLY AML 395AEDFVWAQW CLL 396 MELLFLDTF BRCA, CLL, MEL, OC 397 EECGKAFSVF CLL 398AEIIRYIF AML 399 IEQADWPEI AML 400 TELGLFGVW GBM, MEL, RCC 401 VENIFHNFMEL, NSCLCadeno 402 IETSSEYFNF OC 403 QESVHVASY AML 404 AEREQVIKLHNSCC, OC, OSCAR, UBC 405 YEHAFNSIVW HNSCC, OC, OSCAR, UBC 406 GETVVLKNMGBM 407 MEFQNTQSY MEL 408 AFSLLSAAFY BRCA 409 QEAKPRATW HNSCC, OC 410RELEEEFYSL CLL 411 AERDLNVTI CRC, GC, NSCLCadeno, PACA 412 EESFDSKFYSCLC 413 TELEPGLTY GBM 414 AEGYLDLDGI HCC, NSCLCadeno 415 EEAGFPLAY PRCA416 DELMRKESQW SCLC 417 EESFRCLPEW BRCA, CLL 418 GEPRKLLTQDW CRC, PACABRCA, GC, HCC, GBC, HNSCC, NHL, NSCLCadeno, MEL, UEC NSCLCsquam,OC, OSCAR, SCLC, UBC 419 SELSLLSLY PRCA 420 MEVDPIGHVY CCC, CRC, NHL,GBC, NSCLCadeno, GC, HCC, PACA UEC HNSCC, MEL, NSCLCsquam, OSCAR, SCLC,UBC 421 TEDYSKQAL CCC, GC, HNSCC, NSCLCadeno, NSCLCsquam, NSCLCother,OSCAR, UBC PACA, UEC 422 EEAQWVRKYF AML, BRCA, CLL, SCLC CCC, CRC, GBC,GBM, GC, HCC, HNSCC , MEL, NHL, NSCLCadeno, NSCLCother, NSCLCsquam,OC, OSCAR, PACA, UBC, UEC 423 KEAINLLKNY AML, BRCA, CLL, SCLCCCC, CRC, GBC, GBM, GC, HCC, HNSCC, MEL, NHL, NSCLCadeno, NSCLCother,NSCLCsquam, OC, OSCAR, PACA, UBC, UEC 424 EEHVYESIIRW AML CLL, NHL 425KEVDPASNTY BRCA, CRC, GC, HCC, NSCLCadeno GBC, HNSCC, UEC MEL,NSCLCsquam, OC, OSCAR, SCLC, UBC 426 AESLFREAL BRCA, CRC, GC,HCC, NSCLCadeno GBC, HNSCC, UEC MEL, NSCLCsquam, OC, OSCAR, SCLC, UBC427 AEMLGSVVGNW CCC, CRC, NHL, GBC, NSCLCadeno, GC, HCC, OC, PACA UECHNSCC, MEL, NSCLCsquam, OSCAR, SCLC, UBC 428 AEEKAAVTSL AML, HNSCC,GBC, HCC, MEL NHL, NSCLCadeno, NSCLCother, OSCAR, PACA 429 RETEDYSKQALCCC, GC, HNSCC, NSCLCadeno, NSCLCsquam, NSCLCother, OSCAR, UBC PACA, UEC430 RELARVVTL GBC, NSCLCother, SCLC NSCLCadeno, NSCLCsquam, UEC 431QELLDFTNW SCLC 432 TEENGFWYL BRCA 433 AEEGPSVPKIY AML, CLL NHL, PRCA 434AEQQQQQMY NHL 435 FETEQALRL NSCLCsquam, HNSCC, OSCAR UBC 436 AEADLSYTWDFMEL 437 HEDPSGSLHL BRCA UBC 438 AELDSKILAL BRCA 439 VEVGDRTDW NHL 440QEVAQVASA CCC, GBC, GC, OSCAR HNSCC, NSCLCadeno, NSCLCsquam, PACA, UBC441 QEVAQVASAIL CCC, GBC, GC, OSCAR HNSCC, NSCLCadeno, NSCLCsquam,PACA, UBC 442 KESDAGKYY NHL CLL 443 EEYAGQITL NHL CLL 444 SESALQTVICCC, GC, OSCAR HNSCC, NSCLCother, NSCLCsquam, PACA, UBC 445 QEVGEITNLCCC, GC, OSCAR HNSCC, NSCLCadeno, NSCLCother, NSCLCsquam, PACA, UBC 446AENIKKFLY PRCA 447 KEFGLDSVEL PRCA 448 ALSPVPSHW CLL NHL 449 RENDFEPKFCLL, NHL CRC 450 REIENGNSF CRC, GC, NSCLCadeno, PACA, RCC 451 REYEDGPLSLNSCLCsquam, SCLC, UBC 452 NEVDGEYRY NHL 453 SESKVFQLL CCC, NSCLCadeno,PACA 454 SESSSAFQF MEL 455 QESVHVASYYW AML 456 SESPIRISV HNSCC

Example 3 In Vitro Immunogenicity for MHC Class I Presented Peptides

In order to obtain information regarding the immunogenicity of theTUMAPs of the present invention, the inventors performed investigationsusing an in vitro T-cell priming assay based on repeated stimulations ofCD8+ T cells with artificial antigen presenting cells (aAPCs) loadedwith peptide/MHC complexes and anti-CD28 antibody. This way theinventors could show immunogenicity for HLA-B*44 restricted TUMAPs ofthe invention, demonstrating that these peptides are T-cell epitopesagainst which CD8+ precursor T cells exist in humans (Table 10a andTable 10b).

In Vitro Priming of CD8+ T Cells

In order to perform in vitro stimulations by artificial antigenpresenting cells loaded with peptide-MHC complex (pMHC) and anti-CD28antibody, the inventors first isolated CD8+ T cells from fresh HLA-A*02leukapheresis products via positive selection using CD8 microbeads(Miltenyi Biotec, Bergisch-Gladbach, Germany) of healthy donors obtainedfrom the University clinics Mannheim, Germany, after informed consent.

PBMCs and isolated CD8+ lymphocytes were incubated in T-cell medium(TCM) until use consisting of RPMI-Glutamax (Invitrogen, Karlsruhe,Germany) supplemented with 10% heat inactivated human AB serum(PAN-Biotech, Aidenbach, Germany), 100 U/ml Penicillin/100 μg/mlStreptomycin (Cambrex, Cologne, Germany), 1 mM sodium pyruvate (CC Pro,Oberdorla, Germany), 20 μg/ml Gentamycin (Cambrex). 2.5 ng/ml IL-7(PromoCell, Heidelberg, Germany) and 10 U/ml IL-2 (Novartis Pharma,Nurnberg, Germany) were also added to the TCM at this step.

Generation of pMHC/anti-CD28 coated beads, T-cell stimulations andreadout was performed in a highly defined in vitro system using fourdifferent pMHC molecules per stimulation condition and 8 different pMHCmolecules per readout condition.

The purified co-stimulatory mouse IgG2a anti human CD28 Ab 9.3 (Jung etal., 1987) was chemically biotinylated usingSulfo-N-hydroxysuccinimidobiotin as recommended by the manufacturer(Perbio, Bonn, Germany). Beads used were 5.6 μm diameter streptavidincoated polystyrene particles (Bangs Laboratories, Illinois, USA).

pMHC used for positive and negative control stimulations wereA*0201/MLA-001 (peptide ELAGIGILTV (SEQ ID NO. 519) from modifiedMelan-A/MART-1) and A*0201/DDX5-001 (YLLPAIVHI from DDX5, SEQ ID NO.520), respectively.

800.000 beads/200 μl were coated in 96-well plates in the presence of4×12.5 ng different biotin-pMHC, washed and 600 ng biotin anti-CD28 wereadded subsequently in a volume of 200 μl. Stimulations were initiated in96-well plates by co-incubating 1×10⁶ CD8+ T cells with 2×10⁵ washedcoated beads in 200 μl TCM supplemented with 5 ng/ml IL-12 (PromoCell)for 3 days at 37° C. Half of the medium was then exchanged by fresh TCMsupplemented with 80 U/ml IL-2 and incubating was continued for 4 daysat 37° C. This stimulation cycle was performed for a total of threetimes. For the pMHC multimer readout using 8 different pMHC moleculesper condition, a two-dimensional combinatorial coding approach was usedas previously described(Andersen et al., 2012) with minor modificationsencompassing coupling to 5 different fluorochromes. Finally, multimericanalyses were performed by staining the cells with Live/dead near IR dye(Invitrogen, Karlsruhe, Germany), CD8-FITC antibody clone SK1 (BD,Heidelberg, Germany) and fluorescent pMHC multimers. For analysis, a BDLSRII SORP cytometer equipped with appropriate lasers and filters wasused. Peptide specific cells were calculated as percentage of total CD8+cells. Evaluation of multimeric analysis was done using the FlowJosoftware (Tree Star, Oreg., USA). In vitro priming of specific multimer+CD8+ lymphocytes was detected by comparing to negative controlstimulations. Immunogenicity for a given antigen was detected if atleast one evaluable in vitro stimulated well of one healthy donor wasfound to contain a specific CD8+ T-cell line after in vitro stimulation(i.e. this well contained at least 1% of specific multimer+ among CD8+T-cells and the percentage of specific multimer+ cells was at least 10×the median of the negative control stimulations).

In vitro immunogenicity for acute myeloid leukemia, breast cancer,cholangiocellular carcinoma, chronic lymphocytic leukemia, colorectalcancer, gallbladder cancer, glioblastoma, gastric cancer, hepatocellularcarcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkinlymphoma, lung cancer (including non-small cell lung canceradenocarcinoma, squamous cell non-small cell lung cancer, and small celllung cancer), ovarian cancer, esophageal cancer, pancreatic cancer,prostate cancer, renal cell carcinoma, urinary bladder carcinoma,uterine and endometrial cancer peptides.

For tested HLA class I peptides, in vitro immunogenicity could bedemonstrated by generation of peptide specific T-cell lines. Exemplaryflow cytometry results after TUMAP-specific multimer staining for 7peptides of the invention are shown in FIGS. 3A through 3G together withcorresponding negative controls. Results for 36 peptides from theinvention are summarized in Table 10a and results for 56 peptides fromthe invention are summarized in Table 10b.

TABLE 10a in vitro immunogenicity of HLA class I peptidesof the invention Exemplary results of in vitro immunogenicityexperiments conducted by the applicant for thepeptides of the invention. <20% = +; 20%-49% =++; 50%-69% = +++; > = 70% = ++++ Seq ID No Sequence Wells positive [%]459 KEVDPAGHSY ++ 460 SEFMQVIF + 461 MEVDPIGHVYIF + 463 QEMQHFLGL + 467FEYDELLQRI + 468 QEQDVDLVQKY + 469 SEAFPSRAL +++ 470 EDAQGHIW ++ 474AEEEIMKKI + 476 MEHPGKLLF + 477 VYEKNGYIYF ++++ 479 QENSYQSRL + 485NEHPSNNW + 487 LEMPHYSTF +++ 488 SENPETITY ++ 489 SEYADTHYF +++ 490TENRYCVQL ++ 491 YEVDTVLRY + 492 AEHNFVAKA + 494 KEITGFLLI ++ 495RENQVLGSGW +++ 496 AEIGEGAYGKVF ++ 497 GEGAYGKVF +++ 500 QEVLLQTFL + 501KEGDLGGKQW + 504 KESQLPTVM ++ 506 QESDLRLFL + 508 AESEDLAVHL + 509AESEDLAVHLY + 510 SEDLAVHLY ++++ 511 AEAVLKTLQEL + 512 AEPLVGQRW ++++513 AEKDGKLTDY + 515 AEGGKVPIKW ++ 516 DEYLIPQQGF + 518 FELPTGAGL ++

TABLE 10b in vitro immunogenicity of HLA class I peptidesof the invention Exemplary results of in vitro immunogenicityexperiments conducted by the applicant for thepeptides of the invention. <20% = +; 20%-49% =++; 50%-69% = +++; > = 70% = ++++ Seq ID No Sequence Wells positive [%]  4 AEALGAAKKL +   6 AELVGPVIPQDW ++   7 SESDLVNFI +   9 MEVDPIGHLYIF+++  11 EENIVAIGI +++  12 KEVDPTGHSF +  13 VEAQDRETW ++  15 MEAELVRRI + 16 NESDRLVYF ++  17 SEIYQPRGF ++++  18 QEAPRPASSL +  19 MEHSDENIQFW ++ 20 LEALLSDLF ++  22 TEEITEGVW +  24 EELALRIGL ++++  25 SEKEPGQQY ++  28QEFPAHSL +  29 TENPKKFKI ++++  30 EEFCFSVRF +  31 MESAKETRY +  32REYEYDLKW +  33 IEYENQKRL ++  35 RELVHMINW ++  36 LEQASRIWSW ++++  37IEQGRVVLW ++++  39 AEAMGKFKQCF +  40 REVDPDDSYVF +  41 EENTGKTYF ++  42SEENTGKTYF ++  44 SEFGAPRW ++++  45 EEINELNRMI +++  47 TEVHSSPAQRW +++ 49 SEYVHSSF +  51 VEMTGKHQL ++  53 KEDNPSGHTY ++  54 QEISAHRTEF +  56ALEEGGGYIF +  57 SEATHIITI ++++  59 AEIEADRSYQ +  60 EEAVRSVAF ++  61AEYSVHKI +  62 AEYSVHKITSTF +  66 AEVTLNNTI +  68 NEIDIHSIYF ++  69DENIQKFIW ++  70 AEAEEAMKRL ++  71 AEVGDIIKV ++  72 AEVGDIIKVHF ++  73GEGTLRLSW ++  78 TEFSNHINL ++  79 TEAQRLDCW +  80 TEQSLYYRQW ++++  83TEGGTQKTF ++++ 420 MEVDPIGHVY + 421 TEDYSKQAL + 422 EEAQWVRKYF ++++

Example 4 Synthesis of Peptides

All peptides were synthesized using standard and well-established solidphase peptide synthesis using the Fmoc-strategy. Identity and purity ofeach individual peptide have been determined by mass spectrometry andanalytical RP-HPLC. The peptides were obtained as white to off-whitelyophilizes (trifluoro acetate salt) in purities of >50%. All TUMAPs arepreferably administered as trifluoro-acetate salts or acetate salts,other salt-forms are also possible.

Example 5 MHC Binding Assays

Candidate peptides for T cell-based therapies according to the presentinvention were further tested for their MHC binding capacity (affinity).The individual peptide-MHC complexes were produced by UV-ligandexchange, where a UV-sensitive peptide is cleaved upon UV-irradiationand exchanged with the peptide of interest as analyzed. Only peptidecandidates that can effectively bind and stabilize the peptide-receptiveMHC molecules prevent dissociation of the MHC complexes. To determinethe yield of the exchange reaction, an ELISA was performed based on thedetection of the light chain (β2m) of stabilized MHC complexes. Theassay was performed as generally described in Rodenko et al. (Rodenko etal., 2006)

96 well MAXISorp plates (NUNC) were coated over night with 2 ug/mlstreptavidin in PBS at room temperature, washed 4× and blocked forlh at37° C. in 2% BSA containing blocking buffer. RefoldedHLA-A*02:01/MLA-001 monomers served as standards, covering the range of15-500 ng/ml. Peptide-MHC monomers of the UV-exchange reaction werediluted 100-fold in blocking buffer. Samples were incubated for 1 h at37° C., washed four times, incubated with 2 ug/ml HRP conjugatedanti-β2m for 1 h at 37° C., washed again and detected with TMB solutionthat is stopped with NH₂SO₄. Absorption was measured at 450 nm.Candidate peptides that show a high exchange yield (preferably higherthan 50%, most preferred higher than 75%) are generally preferred for ageneration and production of antibodies or fragments thereof, and/or Tcell receptors or fragments thereof, as they show sufficient avidity tothe MHC molecules and prevent dissociation of the MHC complexes.

MHC:peptide binding results for 439 peptides from the invention aresummarized in Table 11.

TABLE 11 MHC class I binding scores. Binding of HLA-classI restricted peptides to HLA-B*44:05 was rangedby peptide exchange yield: >10% = +; >20% = ++;  >50 = +++; >75% = ++++Seq ID Peptide No Sequence exchange   1 KEVDPASNTYTL ++   2 EEFLRPRSL ++  3 DEIFTNDRRW ++   4 AEALGAAKKL ++   6 AELVGPVIPQDW +++   7 SESDLVNFI+++   9 MEVDPIGHLYIF ++++  10 SEYPTKNYV ++  11 EENIVAIGI +++  12KEVDPTGHSF +++  13 VEAQDRETW ++  14 EMPGGPVW +++  15 MEAELVRRI +++  16NESDRLVYF +++  17 SEIYQPRGF +++  18 QEAPRPASSL +++  19 MEHSDENIQFW ++ 20 LEALLSDLF +++  21 SEAKEIKSQL +++  22 TEEITEGVW ++++  24 EELALRIGL+++  25 SEKEPGQQY ++  26 EESSSPVDEY ++  27 GETCVRITY +++  28 QEFPAHSL+++  29 TENPKKFKI +++  30 EEFCFSVRF +++  31 MESAKETRY +++  32 REYEYDLKW++++  33 IEYENQKRL ++  34 AEPPILYSEY ++  35 RELVHMINW ++++  36LEQASRIWSW ++++  37 IEQGRVVLW ++++  38 DEVRFFKGNKY ++  39 AEAMGKFKQCF+++  40 REVDPDDSYVF +++  41 EENTGKTYF +++  42 SEENTGKTYF +++  44SEFGAPRW +++  45 EEINELNRMI +++  46 SELGLPKEV ++  47 TEVHSSPAQRW +++  49SEYVHSSF ++  50 SEYVHSSFSGF +++  51 VEMTGKHQL ++  52 EDNPSGHTY ++  53KEDNPSGHTY +++  54 QEISAHRTEF +++  55 TEFHMQFSY ++++  56 ALEEGGGYIF + 57 SEATHIITI +++  58 KEMDPSRQSY +++  59 AEIEADRSYQ ++  60 EEAVRSVAF +++ 61 AEYSVHKI +++  62 AEYSVHKITSTF ++++  64 EEYQDSFERY ++  65 SESMVESKF++  66 AEVTLNNTI +++  67 TEGAVEVKY ++  68 NEIDIHSIYF ++++  69 DENIQKFIW+++  70 AEAEEAMKRL +++  71 AEVGDIIKV ++  72 AEVGDIIKVHF +++  73GEGTLRLSW ++++  74 AELEGALQKA ++  75 LETSCGSSTAY +  76 RLNEHPSNNW ++  77QETLAESTW +++  78 TEFSNHINL +++  79 TEAQRLDCW +++  80 TEQSLYYRQW +++  81GEKATMQNL ++  83 TEGGTQKTF +++  84 AETSYVKVLEY +++  85 SEIDEKVTDL +++ 86 QTLKAMVQAW +++  87 GEARGDQVDW ++++  88 KEFTVSGNIL ++++  89 KEFYPVKEF++  90 EESLLSSW +++  91 EESLLSSWDF +++  92 KEPSQSCIAQY +  93 SEAGLTANQY+++  94 SLAELIAKDW ++  95 AAFEDAQGHIW ++++  96 MDELEEGESY +  97 ELVHMINW++  98 SEESAGPLL +++  99 SECVKSLSF ++++ 101 SEENTGKTY +++ 102 TELADLDAAW++++ 103 AELFLTKSF ++++ 105 EEIFKTLNY +++ 106 SVISDSPRSW +++ 107YQENPRAAW ++ 108 QETNKVETY +++ 110 EVEVGEVKSW + 111 QEIDQKRLEF ++ 112AEIEADRSYQH +++ 113 MEFKTLNKN ++ 114 VEVNGVPRW ++++ 115 QEPFTRPVL +++116 AEANPRDLGASW +++ 117 SEVPVDSHY +++ 118 SEVPVDSHYY +++ 119 VEVKYEGHW++++ 120 VTEGAVEVKY + 121 YENIPVDKV +++ 122 GESVSWHLF +++ 123 DEINHQSL++ 124 NENLDYAIL ++++ 125 LEVLHQGQW +++ 126 SEASQSPQY +++ 127RYFDENIQKFIW +++ 128 TELTEARVQVW +++ 129 EEAMKRLSY ++ 130 REYQEVMNSKL+++ 131 RESHLTEIRQY ++ 132 AESFTSGRHYW ++++ 133 IEAPKLMVV + 134IEIKDRLQL +++ 135 QEIDRGQYI ++++ 136 EEMPEEIHL +++ 137 EKGLISAF ++ 138KEAPNIVTL ++++ 139 AESDFSNNML +++ 140 TEHSGIYSC ++ 141 SEKWFRMGF +++ 142QELFLHPVL ++++ 143 HEIIIRSHW +++ 144 IEAYLERIGY +++ 145 EELRMLSF ++ 146MEELRMLSF +++ 147 RMLSFQQMTW ++ 148 KESDAGRYY +++ 149 AETEPERHLG ++ 150SEVFHVSEA ++ 151 TELQIPSF ++ 152 HENLIEDF +++ 153 IEIILLSGSL ++++ 154NEAGEMIKHY ++ 155 TEDARHPESW ++++ 157 SQDVAGTTF ++ 158 VEEERYTGQW +++159 EEVQDGKVI ++ 160 AEIATTGQLY +++ 161 GESSEVKAVL +++ 162 EAYDIELNKW+++ 163 AEDEDGKIVGY ++ 164 DEDGKIVGY ++ 165 EEIEAHIAL +++ 166 EEQDFINNRY++++ 167 AETENRYCV +++ 168 EEGPSVPKIY ++ 169 KEHNSSVPWSS ++++ 170REMFVFKDQW ++++ 171 WEVVHTVF ++ 172 RENPGMFSW +++ 173 SEHSLEGQKF +++ 174DENDAGNLITF +++ 176 GETQQHIQL +++ 177 LEEPMPFFY + 178 MEGAALLKIF +++ 179EEHIFSAF ++ 180 EEHSSKLQTSL ++++ 181 HEVAQDDHL ++ 182 EELHAALSEW ++++183 KEMQVTISQQL ++++ 184 EEQLLQKVM ++++ 185 TEANVQALF ++++ 186 EEIFAHLGL+++ 187 TEQALRLSV ++++ 188 AEFVPKADLL +++ 189 ALNGDIYVW ++++ 190NEAGEVSKHF +++ 191 AEHDMKSVL +++ 192 LEIMTNLVTL ++++ 193 RELRPLFDRQW +++194 TEGDVLNYIF +++ 195 MEIKGTVTEF +++ 196 TELEVKIRDW ++++ 197 NEILTIHF++ 198 REEEANVVL +++ 199 AELPENLKALF +++ 200 KELSVFKKF +++ 201 MEILWKTLT++++ 202 RELPLVLLA ++ 203 REILHAQTL +++ 204 YERPTLVEL +++ 205 MEIEGAGNFL++++ 206 SEDPEKYYL +++ 207 LEGGGRGGEF ++ 208 SEFLLRIF ++ 209 AEGEPPPAL+++ 210 AEGEPPPALAW +++ 211 LEMLDAHRL +++ 212 SEASVYLFRF +++ 213DEDLFHKL ++ 214 SVNPIIYGF ++ 216 AGSPVMRKW ++ 217 EVEVGDRTDW ++ 218REAEEKEAQL +++ 219 WEVEVGDRTDW +++ 220 EEEVFSGMKL ++++ 221 KEAFGPQAL++++ 222 SEDTIHTHL +++ 223 SEVEGLAFV +++ 224 TETDIDREY ++ 225 VEAATVSKW+++ 226 AEDNMVTSY +++ 227 ALTEDSIDDTF + 228 LEYEAPKLY ++ 229 AEDLEKKYA++ 230 AEALVDGKW +++ 231 AEALVDGKWQEF +++ 232 YEIRAEAL ++ 233 QEDKATQTL++++ 234 TEEPQRLFY + 235 SESLPRAPL +++ 236 LEDQLKPMLEW +++ 237 QEIGQKTSV+++ 238 VEDDNYKLSL +++ 239 DEDYTYLIL ++ 240 MELQVSSGF +++ 241 QELLDIANYL++++ 242 CDAQIQYSY +++ 243 VEQINISQDW ++++ 244 VESSQAFTW +++ 245MEFQGPMPAGM +++ 246 HEHGLFNLY +++ 247 KESMLKTTL +++ 248 KESQLPTVMDF +++249 YEMAIYKKY ++++ 250 AELDHLASL +++ 251 DESADSEPHKY + 252 EEFIGKIGI ++253 QEILHGAVRF +++ 254 QEVAGYVLI +++ 255 KQWEYNEKLAF + 256 RLLPGKVVW ++258 IEVSSPITL ++++ 259 IEVSSPITLQAL ++ 260 VELMFPLLL +++ 261 QEWDPQKTEKY+++ 262 YENILNAI ++ 263 AEQLRGFNA +++ 264 RELIKAIGL +++ 265 EDNLIHKF ++266 EEEDRDGHTW +++ 267 VELEVPQL ++ 268 EDLAVHLY + 269 SEDLAVHL ++++ 271REDLVGPEV +++ 272 SEQNIQRANLF +++ 273 TEFELLHQV +++ 274 DEIDKLTGY ++ 275GEQPPEGQW +++ 276 SEYQDGKEF ++ 277 VEFPATRSL +++ 278 DQVTVFLHF + 279GEPVTQPGSLL +++ 280 AAEPLVGQRW ++ 281 HEIPQESL + 282 KEFGIGDLVW ++++ 283VEEEISRHY ++ 284 SQYPHTHTF +++ 285 AEHPDFSPCSF +++ 286 DELSVGRY ++ 287REVSVVDIL ++++ 288 TEHFLKKFF +++ 290 AECILSKRL +++ 291 DEQLLLRF ++ 292HELALRQTV ++++ 293 QEDEQLLLRF +++ 294 EEWEWIQKL ++++ 295 QELEQEVISL +++296 AETIFIVRL ++ 297 DEYLIPQQGFF ++ 298 KEVASNSEL +++ 299 AEVQIARKL +++300 KQTEATMTF ++ 301 AERIMFSDL ++++ 302 EGEDAHLTQY ++ 303 GEDAHLTQY ++304 RELGFTEATGW ++++ 305 AEKNRRDAETW ++++ 306 RRHPSFKRF + 307 YEQLLKVVTW++++ 308 EEPKIDFRVY +++ 309 SDDLRNVTW ++++ 310 FELECPVKY +++ 311REKDLPNYNW ++++ 312 KEWEREKAVSL +++ 313 EEINQGGRKY +++ 314 EMREERKF ++315 MEQQSQEY +++ 316 RLWPEPENW ++ 317 TEFQQIINL ++++ 318 SESSSFLKV +++319 YEWEPFAEV + 320 AENPLNIFY ++++ 321 AENPLNIFYI +++ 322 REESDWHYL +++323 SETAVVNVTY ++++ 324 QELSSIRQF +++ 325 AEQEIMKKV ++++ 326 RELLDFSSW++++ 327 SEQHSLPVF +++ 328 HENGVLTKF ++ 329 SEPQITVNF +++ 330 SEHLFGTSY+++ 331 KELEATKQYL +++ 332 SEADWLRFW ++++ 333 SEGTLPYSY ++ 334 LEWQNSSSM+++ 335 SETPTLQGL +++ 336 QEVNISLHY ++++ 337 VEVIPEGAML +++ 338AEMKFYVVI +++ 339 NEVKEIKGY +++ 340 GELAPSHGL +++ 341 HELESENKKW +++ 342SENKKWVEF ++ 343 SEFDLEQVW ++++ 344 DEIRVFGY ++ 345 AEYQAAILHL +++ 346EEIENLQAQF ++ 347 LENPHVQSV +++ 348 SEVLLTSISTF ++++ 349 LEWQHPSSW ++++350 EEMLENVSL +++ 351 EEGRVYVY ++ 352 QEDELVKIRKY +++ 353 AETEEGIYW ++++354 TEIMEKTTL +++ 355 SETSTGTSV ++ 356 TEAVLNRY ++ 357 AELMDKPLTF +++358 TEFHGGLHY +++ 359 NEFRRKLTF +++ 360 DEMENLLTY ++++ 361 EDASLMGLY ++362 SEVEYINKY +++ 363 EECDKAFHF +++ 364 EECDKAYSF ++ 365 NESGKAFNY ++++366 EECGKAFKKF +++ 367 TEFAVKLKI +++ 368 KEKVPGITI +++ 369 KELEERMLHW++++ 370 EEVLLANALW +++ 371 NEIGQELTGQEW ++++ 372 EEYKFPSLF +++ 373REDPIVYEI ++ 374 NEAEWQEIL +++ 375 HEATFGEKRF +++ 376 SESDGIEQL +++ 377AEDARGWTA ++ 378 QELFLQEVRM +++ 379 AENRVGKMEA ++ 380 EECGKAFRVF +++ 381QELMAFSFAGL ++++ 382 SELNPLALY +++ 383 EEMERDLDMY +++ 384 LDGIPTAGW +++385 LEHPFLVNLW ++++ 386 EESDYITHY +++ 387 GEVQENYKL +++ 388 VEIVTIPSL+++ 389 DEQRRONVAY ++ 390 GEYNKHAQLW ++++ 391 TESIGAQIY +++ 392TEVSVLLLTF +++ 393 SETILAVGL +++ 394 SEILRVTLY +++ 395 AEDFVWAQW ++++396 MELLFLDTF ++ 397 EECGKAFSVF +++ 398 AEIIRYIF + 399 IEQADWPEI ++ 400TELGLFGVW ++++ 401 VENIFHNF ++ 402 IETSSEYFNF +++ 403 QESVHVASY ++++ 404AEREQVIKL ++++ 405 YEHAFNSIVW ++++ 406 GETVVLKNM +++ 407 MEFQNTQSY +++409 QEAKPRATW +++ 410 RELEEEFYSL +++ 411 AERDLNVTI +++ 412 EESFDSKFY +++413 TELEPGLTY +++ 414 AEGYLDLDGI ++ 415 EEAGFPLAY +++ 416 DELMRKESQW +++417 EESFRCLPEW ++++ 418 GEPRKLLTQDW +++ 419 SELSLLSLY +++ 420 MEVDPIGHVY+++ 421 TEDYSKQAL +++ 422 EEAQWVRKYF +++ 423 KEAINLLKNY +++ 424EEHVYESIIRW +++ 425 KEVDPASNTY +++ 426 AESLFREAL +++ 427 AEMLGSVVGNW +++428 AEEKAAVTSL +++ 429 RETEDYSKQAL ++ 430 RELARVVTL ++++ 431 QELLDFTNW++++ 432 TEENGFWYL ++++ 433 AEEGPSVPKIY +++ 434 AEQQQQQMY +++ 435FETEQALRL +++ 436 AEADLSYTWDF +++ 437 HEDPSGSLHL +++ 438 AELDSKILAL +++439 VEVGDRTDW +++ 440 QEVAQVASA ++ 441 QEVAQVASAIL ++++ 442 KESDAGKYY+++ 443 EEYAGQITL +++ 444 SESALQTVI +++ 445 QEVGEITNL +++ 446 AENIKKFLY+++ 447 KEFGLDSVEL +++ 448 ALSPVPSHW +++ 449 RENDFEPKF +++ 450 REIENGNSF+++ 451 REYEDGPLSL +++ 452 NEVDGEYRY +++ 453 SESKVFQLL +++ 454 SESSSAFQF+++ 455 QESVHVASYYW ++++ 456 SESPIRISV +++

REFERENCE LIST

-   Alcoser, S. Y. et al., BMC Biotechnol. 11 (2011): 124-   Allison, J. P. et al., Science. 270 (1995): 932-933-   Andersen, R. S. et al., Nat Protoc. 7 (2012): 891-902-   Anderson, N. L. et al., J Proteome Res. 11 (2012): 1868-1878-   Appay, V. et al., Eur J Immunol. 36 (2006): 1805-1814-   Banchereau, J. et al., Cell. 106 (2001): 271-274-   Beatty, G. et al., J Immunol. 166 (2001): 2276-2282-   Beggs, J. D., Nature. 275 (1978): 104-109-   Benjamini, Y. et al., Journal of the Royal Statistical Society    Series B (Methodological), Vol. 57 (1995): 289-300-   Boulter, J. M. et al., Protein Eng. 16 (2003): 707-711-   Braumuller, H. et al., Nature.(2013)-   Bray, F. et al., Int J Cancer. 132 (2013): 1133-1145-   Brossart, P. et al., Blood. 90 (1997): 1594-1599-   Bruckdorfer, T. et al., Curr Pharm Biotechnol. 5 (2004): 29-43-   Card, K. F. et al., Cancer Immunol Immunother. 53 (2004): 345-357-   Cohen, C. J. et al., J Mol Recognit. 16 (2003a): 324-332-   Cohen, C. J. et al., J Immunol. 170 (2003b): 4349-4361-   Cohen, S. N. et al., Proc Natl Acad Sci USA. 69 (1972): 2110-2114-   Coligan, J. E. et al., Current Protocols in Protein Science.(1995)-   Colombetti, S. et al., J Immunol. 176 (2006): 2730-2738-   Dengjel, J. et al., Clin Cancer Res. 12 (2006): 4163-4170-   Denkberg, G. et al., J Immunol. 171 (2003): 2197-2207-   Falk, K. et al., Nature. 351 (1991): 290-296-   Ferlay et al., GLOBOCAN 2012 v1 0, Cancer Incidence and Mortality    Worldwide: IARC CancerBase No 11 [Internet] (2013), globocan.iarc.fr-   Follenzi, A. et al., Nat Genet. 25 (2000): 217-222-   Fong, L. et al., Proc Natl Acad Sci USA. 98 (2001): 8809-8814-   Forsey, R. W. et al., Biotechnol Lett. 31 (2009): 819-823-   Gabrilovich, D. I. et al., Nat Med. 2 (1996): 1096-1103-   Gattinoni, L. et al., Nat Rev Immunol. 6 (2006): 383-393-   Gnjatic, S. et al., Proc Natl Acad Sci USA. 100 (2003): 8862-8867-   Godkin, A. et al., Int Immunol. 9 (1997): 905-911-   Gragert, L. et al., Hum Immunol. 74 (2013): 1313-1320-   Green, M. R. et al., Molecular Cloning, A Laboratory Manual. 4th    (2012)-   Greenfield, E. A., Antibodies: A Laboratory Manual. 2nd (2014)-   Gunawardana, C. et al., Br J Haematol. 142 (2008): 606-609-   Gustafsson, C. et al., Trends Biotechnol. 22 (2004): 346-353-   Hwang, M. L. et al., J Immunol. 179 (2007): 5829-5838-   Jung, G. et al., Proc Natl Acad Sci USA. 84 (1987): 4611-4615-   Kibbe, A. H., Handbook of Pharmaceutical Excipients. rd (2000)-   Krieg, A. M., Nat Rev Drug Discov. 5 (2006): 471-484-   Kuball, J. et al., Blood. 109 (2007): 2331-2338-   Liddy, N. et al., Nat Med. 18 (2012): 980-987-   Ljunggren, H. G. et al., J Exp Med. 162 (1985): 1745-1759-   Longenecker, B. M. et al., Ann N Y Acad Sci. 690 (1993): 276-291-   Lonsdale, J., Nat Genet. 45 (2013): 580-585-   Lukas, T. J. et al., Proc Natl Acad Sci USA. 78 (1981): 2791-2795-   Lundblad, R. L., Chemical Reagents for Protein Modification. 3rd    (2004)-   Meziere, C. et al., J Immunol. 159 (1997): 3230-3237-   Molina, J. R. et al., Mayo Clin Proc. 83 (2008): 584-594-   Morgan, R. A. et al., Science. 314 (2006): 126-129-   Mortara, L. et al., Clin Cancer Res. 12 (2006): 3435-3443-   Mueller, L. N. et al., J Proteome Res. 7 (2008): 51-61-   Mueller, L. N. et al., Proteomics. 7 (2007): 3470-3480-   Mumberg, D. et al., Proc Natl Acad Sci USA. 96 (1999): 8633-8638-   Pinheiro, J. et al., nlme: Linear and Nonlinear Mixed Effects Models    (CRANR-projectorg/package=nlme) (2015)-   Plebanski, M. et al., Eur J Immunol. 25 (1995): 1783-1787-   Porta, C. et al., Virology. 202 (1994): 949-955-   Rammensee, H. et al., Immunogenetics. 50 (1999): 213-219-   Rini, B. I. et al., Cancer. 107 (2006): 67-74-   Rock, K. L. et al., Science. 249 (1990): 918-921-   Rodenko, B. et al., Nat Protoc. 1 (2006): 1120-1132-   Saiki, R. K. et al., Science. 239 (1988): 487-491-   Schmitt, T. M. et al., Hum Gene Ther. 20 (2009): 1240-1248-   Scholten, K. B. et al., Clin Immunol. 119 (2006): 135-145-   Seeger, F. H. et al., Immunogenetics. 49 (1999): 571-576-   Sherman, F. et al., Laboratory Course Manual for Methods in Yeast    Genetics.(1986)-   Silva, L. P. et al., Anal Chem. 85 (2013): 9536-9542-   Singh-Jasuja, H. et al., Cancer Immunol Immunother. 53 (2004):    187-195-   Small, E. J. et al., J Clin Oncol. 24 (2006): 3089-3094-   Sturm, M. et al., BMC Bioinformatics. 9 (2008): 163-   Teufel, R. et al., Cell Mol Life Sci. 62 (2005): 1755-1762-   Thakkar, J. P. et al., Cancer Epidemiol Biomarkers Prev. 23 (2014):    1985-1996-   Tran, T. T. et al., Photochem Photobiol. 90 (2014): 1136-1143-   Walter, S. et al., J Immunol. 171 (2003): 4974-4978-   Walter, S. et al., Nat Med. 18 (2012): 1254-1261-   Willcox, B. E. et al., Protein Sci. 8 (1999): 2418-2423-   World Cancer Report (2014)-   Zaremba, S. et al., Cancer Res. 57 (1997): 4570-4577-   Zufferey, R. et al., J Virol. 73 (1999): 2886-2892

What is claimed is:
 1. A peptide consisting of the amino acid sequenceSEQNIQRANLF (SEQ ID NO: 272) in the form of a pharmaceuticallyacceptable salt.
 2. The peptide of claim 1, wherein said peptide has theability to bind to an MHC class-I molecule, and wherein said peptide,when bound to said MHC, is capable of being recognized by CD8 T cells.3. The peptide of claim 1, wherein the pharmaceutically acceptable saltis chloride salt.
 4. The peptide of claim 1, wherein thepharmaceutically acceptable salt is acetate salt.
 5. A compositioncomprising the peptide of claim 1, wherein the composition comprises anadjuvant and a pharmaceutically acceptable carrier.
 6. The compositionof claim 5, wherein the peptide is in the form of a chloride salt. 7.The composition of claim 5, wherein the peptide is in the form of anacetate salt.
 8. The composition of claim 5 wherein the adjuvant isselected from the group consisting of anti-CD40 antibody, imiquimod,resiquimod, GM-CSF, cyclophosphamide, sunitinib, bevacizumab,interferon-alpha, interferon-beta, CpG oligonucleotides and derivatives,poly-(I:C) and derivatives, RNA, sildenafil, particulate formulationswith poly(lactide co-glycolide) (PLG), virosomes, interleukin (IL)-1,IL-2, IL-4, IL-7, IL-12, IL-13, IL-15, IL-21, and IL-23.
 9. Thecomposition of claim 8, wherein the adjuvant is IL-2.
 10. Thecomposition of claim 8, wherein the adjuvant is IL-7.
 11. Thecomposition of claim 8, wherein the adjuvant is IL-12.
 12. Thecomposition of claim 8, wherein the adjuvant is IL-15.
 13. Thecomposition of claim 8, wherein the adjuvant is IL-21.
 14. A pegylatedpeptide consisting of the amino acid sequence of SEQNIQRANLF (SEQ ID NO:272) or a pharmaceutically acceptable salt thereof.
 15. The peptide ofclaim 14, wherein the pharmaceutically acceptable salt is chloride salt.16. The peptide of claim 14, wherein the pharmaceutically acceptablesalt is acetate salt.
 17. A composition comprising the pegylated peptideof claim 14 or pharmaceutically acceptable salt thereof, and apharmaceutically acceptable carrier.
 18. The composition of claim 5,wherein the pharmaceutically acceptable carrier is selected from thegroup consisting of saline, Ringer's solution, dextrose solution, andsustained release preparation.
 19. The peptide in the form of apharmaceutically acceptable salt of claim 1, wherein said peptide isproduced by solid phase peptide synthesis or produced by a yeast cell orbacterial cell expression system.
 20. A composition comprising thepeptide of claim 1, wherein the composition is a pharmaceuticalcomposition and comprises water and a buffer.